Methods and systems for converting digital music scores to Braille, and vice versa and for creating Braille and digital music scores directly from music keyboard entry. The system and methods are embodied in computer programs which can extract note data from a digital score or Midi file, and correlate the note data with Braille cell data in a computer processor. A digital Braille score is created from the Braille cell data, and can be output as an embossed score, as a printed simulated Braille score or on a refreshable Braille display. The computer programs can also create digital scores from input Braille scores. Hardware components can include a music keyboard having a processor, a digital storage device and an integrated refreshable Braille display.