Whether you have full use of your hands or not, a foot-operated keyboard is a great addition to any setup. Of course, it has to be a lot more robust than your average finger-operated keyboard, so building a keyboard into an existing footstool is a great idea.
When [Wingletang]’s regular plastic footrest finally gave up the ghost and split in twain, they ordered a stronger replacement with a little rear compartment meant to hold the foot switches used by those typing from dictation. Settling upon modifiers like Ctrl, Alt, and Shift, they went about designing a keyboard based on the ATmega32U4, which does HID communication natively.
For the switches, [Wingletang] used the stomp switches typically found in guitar pedals, along with toppers to make them more comfortable and increase the surface area. Rather than drilling through the top of the compartment to accommodate the switches, [Wingletang] decided to 3D print a new one so they could include circuit board mounting pillars and a bit of wire management. Honestly, it looks great with the black side rails.
If you want to build something a little different, try using one of those folding stools.