It's not rocket science to do, especially with todays tech, nor does it have to be perfect,
just good enough to get the job done and cheap, and anything is better than nothing
A foot sensor mat on a small platform that can be angled, with a pair of pressure sensors attached to the big and smallest toe (right/left click) would be a start
or an old school up/down and or 45-0-45 degree swivel type foot pedal with switches and joystick pot etc
and chuck in some modded existing mouse software to fine tune the lot to each user requirements
I used to knock up 'look ma, no hands!'
multiple foot pedal thingies years ago with limited electronics experience,
they worked (probably still do) and were low voltage/no voltage safe
surely all these corporat tech 'teams' in laundered white coats with BS diplomas can do a LOT better than my tacky looking rat tailed back yard inventions
and rake in the cash and take undeserved credit for these ideas
EDIT: just as I thought, it has been sort of done already,
do an internet Search for 'Foot Operated Mouse' and there you are