The Exhaler Class at Craig Hospital was developed to meet the physical, psychosocial, and educational needs of high quadriplegic patients. The class uses a multidisciplinary approach and includes exercise and educational sessions. To date, a total of 56 patients have participated in the 6-week program, and those surveyed rated the sessions as good both in content and presentation. An average increase in vital capacity of 0.5 L was observed in 20 patients surveyed.