Not for Eli anyway. Not necessarily because he doesn't need it. His muscles and tone are pretty good. He does have LOTS of stamina problems (the school notices this too) but she is seeing that as a cardiology issue and until they fix his heart again there is nothing she can do. She does think he has lots of balance issues because of his feet. But she thinks if we do better supports for his feet he will do much better. She is doing the paperwork and helping us get get them. She said since we already did "off the shelf" type inserts that the ones she's recommending should be approved. I actually agree with her recommendations. Now the time we spent in PT will be done doing speech instead.