**4. Indicators to use GenVirtual in music theraphy**

GenVirtual indications beyond the scope of rehabilitative therapy, allow household use of the system. With systematic and repetitive use of GenVirtual, individuals are spontaneously motivated. This can be enhanced with memory cognitive rehabilitation and visual stimuli (colors of virtual objects), as well as audio stimulation (sound of virtual objects). Therefore, motor rehabilitation is exercised with repetition of the sequence of motor movements necessary to strike the sounds.

From the analysis of music therapy approaches, Benezon (1998) establishes the four main methods of music therapy: improvisation, re-creation, composition and listening. All these methods can be applied using GenVirtual. For the clinical cases, the re-creation method was used, where the patient performs, reproduces, transforms or interprets a piece of music or musical model as a whole. The objectives of clinical re-creation, according to Benezon (1998) can be:


We can consider that music therapist intervention with an individual with an extremely hypotonic hand, for example, can be processed by GenVirtual in the following aspects: these

GenVirtual indications beyond the scope of rehabilitative therapy, allow household use of the system. With systematic and repetitive use of GenVirtual, individuals are spontaneously motivated. This can be enhanced with memory cognitive rehabilitation and visual stimuli (colors of virtual objects), as well as audio stimulation (sound of virtual objects). Therefore, motor rehabilitation is exercised with repetition of the sequence of motor movements

From the analysis of music therapy approaches, Benezon (1998) establishes the four main methods of music therapy: improvisation, re-creation, composition and listening. All these methods can be applied using GenVirtual. For the clinical cases, the re-creation method was used, where the patient performs, reproduces, transforms or interprets a piece of music or musical model as a whole. The objectives of clinical re-creation, according to Benezon (1998)

We can consider that music therapist intervention with an individual with an extremely hypotonic hand, for example, can be processed by GenVirtual in the following aspects: these

Fig. 8. Musical score of GenVirtual

Fig. 9. Musical score of GenVirtual

necessary to strike the sounds.

• Develop sensory motor skills.

• Improve care and guidance;

• Develop memory;

• Promote rhythmic behavior and adaptation;

• Promote the identification and empathy with others;

• Learn to play specific roles in various interpersonal situations.

• Develop skills of interpretation and communication of ideas and feelings;

can be:

**4. Indicators to use GenVirtual in music theraphy** 

individuals are not able to keep their fingers extended on the keyboard, or do not have the enough muscular strength to strike piano keys or strum a guitar (Louro et al, 2005). Typically, in these cases, the patient uses adaptations like tips on the hands to play the piano, tambourine fasteners for bimanual hand use, and the help of a music therapist to carry out interventions of music expression, the "music making" (Nascimento, 2006).

With GenVirtual, the performer can use his/her hands closed into a fist to play a musical note, since the cards can be printed in larger proportions. There is no need to adjust the interaction with the virtual environment. To use GenVirtual to play an instrument, the user needs to cover a card without using adaptations.
