A tambourine (in Old Dutch also belt drum, as in Christmas carols) is a frame drum, which consists of a hoop in which bell rings are attached and which is covered with a drumhead. Without bell rings, it is not a tambourine but a hand drum. If the bell rings are there but no skin is tightened, then it is a beat ring, or a bell wreath. The instrument is struck or moved by hand. The tambourine is used in many music styles, such as folk music (for example in Portugal, Spain, Italy, Greece, and Turkey), pop, rock, country and gospel, and South American (samba) and Persian music.