The Interactive Therapeutic Sensory Environment (ITSE) research project offers new opportunities on stimulation, interaction and interactive creation for people with moderate and severe mental and physical disabilities. Mainly based on computer vision techniques, the ITSE project allows the gathering of users' gestures and their transformation into images, sounds and vibrations. Currently, in the APPC, we are working in a prototype that is capable of generating sounds based on the users' motion and to process digitally the vocal sounds of the users. Tests with impaired users show that ITSE promotes participation, engagement and play. In this paper, we briefly describe the ITSE system, the experimental methodology, the preliminary results and some future goals.Full Text at Springer, may require registration or fee