A friend of mine has no hands, and plays with his toes, and seems to be "left footed" when he plays, as well as when performing most other daily chores. Oh, what does he play? Piano, and of course, the Mountain Dulcimer (I got him hooked on that as I thought it the perfect instrument for the left footed player) and several percussion instruments including the trap set. And yes, he does keep his feet washed & smeling clean.