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I'm a licensed private pilot and the keyboard and mouse is even hard for me to use with FSX.
I've tested a Thrustmaster steering wheel from my son's PS3 console (has a PC switch) and it worked great. Had to program a couple of keys (throttle, etc.) but that's easy in the settings page.
Next I tried a Gigaware universal controller (USB model) that I bought on clearance from Radio Shack for $1.99 and it worked like a charm. Didn't have to reprogram any buttons.
So you may want to look for some-type of controller (It doesn't have to be a joystick or FSX controller) that works for you. I'm assuming that since you have enough mobility to use a keyboard and mouse that there is something out there.
There are some modified controllers that allow for one-handed use. Here are a couple:
http://kotaku.com/he-built-a-custom-controller-to-help-disabled-kids-play-523988064
http://www.cinemablend.com/games/Xbox-One-Controller-Modded-Disabled-Gamers-61305.html
There are even sites devoted to disabled gamers like this one:
http://www.game-accessibility.com/
Or if you put in the practice time, you can master the keyboard and mouse. If you go that route I would defiantly print out a keystroke chart for the type of plane you are flying.
I don't have a joystick, just a wheel.
It's possible to play with a mouse, set the level of realism on low, it's like playing an arcade game.
You don't need plugins like mouse as yoke :)
Only thing missing is a pov hat to have easy access to camera.
and maybe direct access to thrust command and more switch
Now i only have to learn keyboard shortcurts, i forgot everything about how to fly since i played 2004 century of flight.
lol why do people think they are not playing a game :) X-plane 10 is more developed than this ( and I own both ) BUT THEY ARE STILL GAMES. not only a game lol