People have to start from the ground, then first step, second, third and so on to reach their destination floor. Exactly the same way students have to start from Kindergarten, then grade one, grade two and three and so on to reach their math destination. Also, if some of the steps are broken in the staircase, it is still hard to reach the desired floor using those steps. Same way, if you are missing some of the basic concepts from elementary grades, math for you is still hard. Now, the kindergarten, first grade and second grade are like first couple of the steps of the stairs. You can learn this level of math easily, as you can jump enough to take yourself to second or third step of the stairs easily. As it is very hard to reach sixth or seventh step of a stairs by jumping from the ground, exactly the same way to learn grade five or higher grade math is very hard (or impossible) without having the good knowledge of the kindergarten to grade three or grade four math. Now, consider one person is jumping on the ground to reach the third floor of a building. Can this person make it? Never, if he is not Spiderman. For this person, to reach the third floor by jumping is impossible or very hard and finally he gave up saying that it was very hard to reach third floor.
I will admit that there is one type of worksheet that I used in the past and found relatively beneficial, although it had a different kind of flaw. For my Basic Math, Pre_Algebra, and Algebra classes, I had several books of "self_checking" worksheets. These worksheets had puns or puzzle questions at the top, and as the students worked the problems they were given some kind of code for choosing a letter to match that answer. If they worked the problems correctly, the letters eventually answered the pun or riddle. Students enjoyed these worksheets, but there are a couple problem areas even with these worksheets. Some students would get the answer to the riddle early and then work backward from letter to problem answer, so they weren't learning or practicing anything.