Prior to the introduction of steel strings, gut or sennit (coconut fibre) was used.
Hawaiian artists such as Palani Vaughan and Ranga Pae have incorporated the ʻūkēkē into their compositions.
The instrument nearly went extinct until Mahi La Pierre studies old Hawaiian music and attempted to make one.
He was successful in the recreation of the instrument, and the Papahan Kuaola organization is now devoted to preserving the memory of the ʻūkēkē and its effect on the Hawaiian culture.
The sound was labeled as devil music when two women playing the instrument to each other were first heard by a foreign missionary.