The slow and steady shift in the age of our population show that over the next 20 years the largest portion of our population will be retirees of the baby boomer generation. While this significant segment of the population is on average older it is also on average a healthier and more active generation than any generation in this age range before. Life expectancy has increased due to advances in medicine including physical therapy. The inclusion of physical therapy in a treatment plan is shown to improve the overall outcome of all aspects of healthy living. This expansive segment of the population is more likely to demand to be independent, wishing to remain within the home for longer than in the past. The demand for independence could mean city planners and engineers need to rework many cities to accommodate walking and bicycles as the main means of transport to help ensure people are allowed to live the life they desire.2 Some of the new arenas beginning to open for treatment