Adaptive Instruments in Music Therapy

In our work as music therapists, we interact with individuals of all ages and abilities. It is important to consider the different ways in which we can make music accessible to individuals with differences in ability that may make interacting with traditional instruments difficult. Below are a few examples of instruments and tools that music therapists can use in our work to continue making music fun and accessible for everyone!

Wrist Bells

Wrist bells are a simple and effective instrument for individuals who may have difficulty with holding and grasping instruments. These bells can Velcro around a participant’s wrists or ankles and can be used in interventions such as instrument play or gait training.

Adaptive Guitar Picks

Adaptive guitar picks with a loop are a great option for individuals who have difficulty with grasping small objects. Large picks are also a great option, especially for groups and kids. The best part is the large picks can’t fall inside of your guitar!

Mallet Cuffs

Mallet cuffs are another great option for those who have difficulty with grasping the handles of different instruments. This cuff is designed to be used by adults and children, and is made of rubber to help keep it from slipping. It can fit a variety of different mallets. Fun fact: this particular mallet cuff was designed by music therapists! You can find these awesome cuffs and mallets here:

 https://www.westmusic.com/american-drum-pk-cf4-adaptive-mallet-cuff-and-mallet-pack-set-of-4-263820?srsltid=AfmBOooENoeMGhjeWVUL7-pQRo1c-C2cShpv_ocxaiuHSt1wdYovkYkp

EyeHarp

This adapted music software allows users to create and play music using their eyes only. This software was created by musician Zacharias Vamvakousis in 2010 with the goal of making music accessible to individuals with very limited mobility. The software utilizes an eye tracking device that allows participants to play different notes and use different instruments to create music. You can learn more about EyeHarp and download it here:

https://eyeharp.org/

Adapting Traditional Instruments

Adapting to different client needs is part of a music therapist’s day-to-day work. Oftentimes we may not have access to a specific adapted instrument that would fit a client’s needs best. Here are some other ideas for how to “DIY” and make your sessions more adapted using what you may already have!

• Utilize stands or tables to adjust the height of instruments

• Create your own adapted mallets by adding grip tape or foam to help with grasping

• Play instruments using different body parts, like feet or knees

• Use color coded stickers on guitars, pianos and ukuleles for easier chord and note identification

• Use a non-slip mat to help keep instruments from sliding on a wheelchair tray

• Assist with using kazoos or slide whistles for wind expression

• Utilize hand over hand and other assistance when needed to help with playing instruments and interacting with manipulatives.

• For the tech-savvy therapists: utilize 3D printing to design and/or find projects that assist with making instruments more adaptive.

Summary

Music therapists have access to a wide variety of adaptive equipment that can assist individuals with participating in music therapy sessions. Much of this equipment is available online, and can be used in sessions with a variety of different clients. Oftentimes a music therapist’s most accessible tool is their own creativity and ability to use what they already have access to in different ways!