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Just some little actuators in a pad like the DDR mats? My issue is actually more with my other leg and foot because of the height I have to sit to alleviate pain in my pedal foot. I'm constantly playing around with things to lift one or the other foot up some so my hips and feet don't hurt (I have congenital hip dysplasia, so the typical ergo solutions don't cut it).
I've also been experimenting some with using keyboard commands for start/stop, which does indeed help my limbs, but not my production. For the time being, I guess I'll go back and forth between keyboard commands and foot pedal to at least give my body a break. I was actually searching Google for a flat USB or Infinity foot pedal yesterday (with no luck, obviously).