In the acute phase up to 80% of individuals who sustain a spinal cord injury experience respiratory complications1. Respiratory complications are life-threatening and multi-disciplinary early intervention is a strong preventative measure. Some respiratory related goals occupational therapists can work on include: -Client and caregiver education -Re-training ADL/IADL to reduce oxygen consumption (Energy Management) -Positioning to support ease of breathing -Facilitate early mobilization -Support to implement stress management strategies, breathing techniques, and relaxation strategies … and so much more!!