In ancient and medieval times, stringed instruments such as the harp, lyre and lute were used with psalms and hymns.
Since there is a lack of musical notation in early writings, the actual musical forms in the early church can only be surmised. During the Middle Ages a rich hymnody developed in the form of Gregorian chant or plainsong. This type was sung in unison, in one of eight Church modes, and most often by monastic choirs.