Wiktionary
n. 1 A philosophy of education for the deaf, emphasizing visual sign language using the hands 2 The art of playing music by squeezing air through the hands
Wikipedia
Manualism is a method of education of deaf students using sign language within the classroom. Manualism arose in the late 18th century with the advent of free public schools for the deaf in Europe. These teaching methods were brought over to the United States where the first school for the deaf was established in 1817. Today manualism methods are used in conjunction with oralism methods in the majority of American deaf schools.
Manualism is the art of playing music by squeezing air through the hands. Because the sound produced has a distinctly flatulent tone, such music is usually presented as a form of musical comedy or parody. The musical performer is called a manualist, who may perform a cappella or with instrumental accompaniment.
Playing recognizable tunes by squeezing the hands together is extremely difficult, and could take many years of practice to master the art. Some manualists practice for as many as 30 years before finally reaching a presentable level of proficiency.