Acute and Chronic Effects of Inhaled Steroids on Pulmonary Function in Persons With Spinal Cord Injury

Inclusion Criteria: * 18 to 65 years old; and * Stable, tetraplegia C3-C8 levels (duration of injury \>1 year). Exclusion Criteria: * Smoking, active or history of smoking during the last six months * Active respiratory disease(s), such as COPD, inflammatory lung disease, obstructive lung diseases, or acute respiratory infections * No known history of asthma during lifetime or recent (within 3 months) respiratory infections; * Ventilator dependence; * Use of medications known to affect the respiratory system, such as nizoral; * aldesleukin * oral corticosteroids (e.g., prednisone, dexamethasone) * natalizumab * drugs affecting liver enzymes that remove mometasone from your body (such as azole antifungals including itraconazole, macrolide antibiotics including erythromycin, cimetidine, rifamycins including rifabutin, St. John's wort, certain anti-seizure medicines including carbamazepine) * Use of medications known to alter airway caliber; * Coronary heart and/or artery disease, as indicated in the patient medical record; * Hypertension, baseline blood pressure ≥ 140/90mHg; * Adrenal insufficiency, as indicated in the patient medical record; * Pregnancy; * Lack of mental capacity to give informed consent; * History of glaucoma; * History of cataracts; and * Persisting pressure ulcer, or a recently healed wound (e.g., ≤3 months since wound closure). * History of a milk protein allergy