1. Pamela A. Lathem, OTR, is a unit supervisor, Theresa L. Gregorio, OTR, is a senior staff therapist, and Susan L. Garber, MA, OTR, is Assistant Director for Research; all at the Occupational Therapy Department, The Institute for Rehabilitation and Research, Houston, TX 77030. Susan Lipton Garber is also Assistant Professor, Department of Rehabilitation, Baylor College of Medicine, Houston, TX 7703