‘Harmonicas for Health’ Breathes New Life into Pulmonary Care

A creative new program helps patients build breathing strength and confidence, one musical note at a time.

Pulmonary rehab is often associated with hard work, including breathing exercises, endurance training and consistent routines that help patients manage chronic lung disease. But a new program led by the pulmonary rehab team in Willmar is adding something unexpected: music.

Harmonicas for Health introduces patients to harmonica playing as part of their respiratory training, combining clinical purpose with music and fun.

"This program brings a fun therapeutic activity for patients living with chronic lung disease," said Kendra Sandmann, Respiratory Therapy Lead at Rice Memorial Hospital. "Having fun makes any activity better."

Currently, the harmonica therapy program is unique within the CentraCare system, giving patients a creative, hands-on way to strengthen their breathing and stay motivated.

How a Harmonica Becomes a Therapy Tool

To someone unfamiliar with pulmonary rehab, a harmonica might seem like an unusual piece of medical equipment. But the connection to respiratory therapy is strong.

Playing the harmonica naturally mimics pursed lip breathing, a key technique patients learn to manage shortness of breath. It also helps strengthen breathing muscles, improve airway clearance, reduce stress and promote better overall breath control.

What a Typical Session Looks Like

During rehab, patients learn how to hold the harmonica, practice breathing patterns through music, and begin playing simple songs.

"There's usually a good amount of laughter mixed in with the learning," Kendra said with a smile. "Patient favorites include Happy Birthday, Taps and Jingle Bells."

Because sessions are completed while seated, patients with mobility limitations or fatigue can participate safely and confidently. The novelty of the experience also helps remove some of the pressure often associated with traditional exercises.

Why "Fun" Matters in Healing

Pulmonary rehab only works when patients stay committed, and that's where the harmonica has made a difference.

Kendra explains, "When rehab feels enjoyable, patients are far more likely to show up consistently, push a little harder and continue exercises at home."

This program shifts the environment from a clinical therapy session to something more engaging and approachable. Patients often find themselves more relaxed, more willing to try something new and more connected to the progress they're making.

The Impact on Patients

Since launching the Harmonicas for Health program, the care team has noticed encouraging changes across physical, emotional and social areas.

"Physically, patients appear more intentional with breath control and often demonstrate better coordination between inhaling and exhaling," shared Kendra. "Some patients have reported less shortness of breath during daily activities."

Emotionally, confidence grows as well.

What starts as hesitation often turns into pride once they realize they can do it. There's less tension and a stronger sense of accomplishment at the end of each session.

One moment that stands out for Kendra was watching a patient who was initially skeptical about the program, successfully play through a full song.

Patients are also able to take their harmonicas home with guided music, reinforcing independence and helping them continue exercises beyond scheduled sessions, sometimes even becoming entertainment for family gatherings.

Bringing the Program to Life

The program was made possible through initial funding support from the Minnesota Association for Cardiovascular and Pulmonary Rehabilitation (MNACVPR).

"The startup resources allowed us to try something new and fun with the purchase of leader and patient kits to launch the program," Keri explained.

Although the initial funding has been used, the team plans to continue and sustain this program moving forward, a reflection of the early success and patient enthusiasm.

Breathing Better Is Possible

Pulmonary rehabilitation supports people living with chronic, limiting lung conditions, especially COPD (emphysema, chronic bronchitis) who experience shortness of breath, fatigue or challenges with daily activities.

Even if lung function can't be restored, rehab can help people breathe more efficiently, build strength and increase independence in everyday activities.

Programs like Harmonicas for Health help make those benefits more approachable by bringing creativity into the rehab experience.

"You don't have to live at the mercy of your breathing," Kendra says. "Pulmonary rehab isn't about how severe your condition is, it's about helping you breathe better, move more confidently and regain control of your daily life."