The dulcimer--appalachian----is a great instrument for those with disabilities. Put it on a table or platform in front of you and fret just the first string. Strum all three strings. (Don't use these strange 90's dulcimers with extra strings.) The 3-stringed dulcimer, unlike the autoharp, is quite easy to tune. It just took me two MONTHS to tune an autoharp that Brian Bowers sent to me because he heard that I could no longer play the guitar or banjo.(Thanks Brian---Vicki and Flawn too. For sure!) It's easier to tune a helicopter than some autoharps. But autoharps with FINE TUNERS are being made now. Those would help a ton on my autoharp, I'm certain.)KEEP PICKIN"!! Take it easy, but take it!