An endoscope control system comprises one or more sensors located in a headrest and configured to detect an input at the headrest. The one or more sensors include at least one of an array of pressure sensors positioned adjacent to a forehead rest surface, a joystick controller mounted in the headrest, or a slip plate mounted to the headrest. The endoscope control system further comprises an endoscope control module configured to receive one or more sensor signals from the sensors indicating movement of the headrest or pressure applied to the headrest and providing an indication of intended movement of an image provided by an endoscope. The endoscope control system further comprises an endoscope manipulation module configured to receive the indication of intended movement from the endoscope control module and generate one or more actuation signals to activate one or more actuators configured to cause the intended movement of the image.