Intuitively we have known this to be true and am not surprised by the report but it has been the rare patient that will attend PT. So infrequent has it been that when they agree to try or, shamefully, they suggest it, I am taken off guard. In an attempt to convince them of the ultimate cost-benefit, I ask that they go for an assessment and review with the therapist the value of an at home program with periodic reassessments.