Since 1979, the Surgeon General has reported on the importance of health promotion for people with disabilities, and its role in the prevention of secondary conditions, such as pressure sores (U.S. Department of Health, Education, and Welfare). Research has shown that health promotion is often a more effective and cost-reducing way to prevent secondary conditions such as pressure sores than the traditional disability management strategy (Warms, 1987). An effective health promotion program designed for people with SCI to prevent pressure sores would address more than simply skin care; it would also include the areas of physical fitness and activity, nutrition, and health behaviors. Health promotion is not only a method to decrease the prevalence of pressure sores in people with SCI; it is also an avenue to improve physical and mental health, quality of life, and to increase independence.