In VTOL VR you can reposition the stick and even swap it to center stick. I usually keep it sidestick and rest it on my leg. The throttle is still a problem but you don't usually have to hold onto it all the time. And the collective in the AH-94 is no worse than a real helicopter

I was hoping someone would bring up VTOL VR though because it has the best buttons I've used in any VR game so far. Just touching a button is too imprecise; laser pointers can be awkward. Holding your hand over the button, getting a slight vibration to let you know you're in the connect interaction zone, the clicking the trigger is the best option in most circumstances