I've always twisted manually, but I suppose the stop macro could be handy. Get the timing down and bind your hotkeys close. Basic twisting isn't that hard. Twisting in different CC's etc is tricky with changing targets. And instrument twisting is quite complex and kind of a lost art.
I have a weight-reducing bag I keep all my instruments and weapons in bound on my hotbar, and also my two hand slots. The windows are spaced so that the bag is right next to the bar. It takes some quick mouse work, but intrument twisting will often be more effective then melee thanks to the massive buffs you're giving to your group. The DoT damage you can get from this, once you get more then one and can stack, is also respectable. Once you hit lvl 18, CoD+DDD+Hymn, with instruments swapped in, is pretty epic for keeping your downtime to practically nothing and debuffing and dotting at same time. Swap in anthem (sadly it's singing), chant of battle, as appropriate for group. It gets even more epic as you get more songs; at low level you'll melee a lot but at higher lvl instruments become more useful imo.
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