Mary E Gannotti1, W Penn Handwerker2, Nora Ellen Groce3, Cynthia Cruz4. 1. ME Gannotti, PT, PhD, is Research Fellow, Department of Pediatrics, Yale Center for Children With Special Health Care Needs, School of Medicine, Yale University, New Haven, Conn, and Assistant Professor of Physical Therapy, Physical Therapy Program, University of Hartford, West Hartford, Conn. This research was performed to fulfill the requirements for her doctoral degree in anthropology at the University of Connecticut. 2. WP Handwerker, PhD, is Professor of Anthropology, Medical Anthropology Program, University of Connecticut, Storrs, Conn. 3. NE Groce, PhD, is Associate Professor, Department of Epidemiology and Public Health, Program in International Health, School of Medicine, Yale University. 4. C Cruz, PT, MPH, is Assistant Professor of Physical Therapy, Physical Therapy Program, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.