To keep his balance he leans on an aluminum suitcase (see associated tip) when he plays the harmonica. If holding the harmonica is difficult a harmonica holder can be used; see associated tip.
Playing the harmonica is a good instrument for people with high spinal cord injuries with low pulmonary function. A good beginning is a blues harmonica in C, D, E or F major, which require the least inhalation and exhalation. An aluminum suitcase in which the harmonica can be stored also helps the user keep his balance.
Playing the harmonica should be required as part of rehabilitation as a fun way to improve lung capacity.
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A friend brought a harmonica to the hospital after seeing how boring the lung exercises were.
This tip is from 2008