Gaming controllers are primarily designed keeping in mind the needs of seasoned gamers who have razor-sharp reflexes and blazing reaction times. Most of the mainstream controllers don’t factor in the needs of disabled gamers who have accessibility issues. Major manufacturers like Sony and 8BitDo, however, have ventured down this road with the PlayStation 5 Access
It’s definitely a case of one size not fitting all. I’m glad to see efforts to make gaming inclusive though.