* patients who were deemed unable to actively participate in therapy due to poor cognitive status or being medically unstable. * patients who are unable to give consent. * patient who are bedbound at baseline. * patient who are not fluent in english or spanish (a spanish version of consent form will be made available)?

* patients who were deemed unable to actively participate in therapy due to poor cognitive status or being medically unstable. * patients who are unable to give consent. * patient who are bedbound at baseline. * patient who are not fluent in english or spanish (a spanish version of consent form will be made available)?

- patients who were deemed unable to actively participate in therapy due to poor cognitive status or being medically unstable. - patients who are unable to give consent. - patient who are bedbound at baseline. - patient who are not fluent in english or spanish (a spanish version of consent form will be made available)?

- patients who were deemed unable to actively participate in therapy due to poor cognitive status or being medically unstable. - patients who are unable to give consent. - patient who are bedbound at baseline. - patient who are not fluent in english or spanish (a spanish version of consent form will be made available)?