There are some new materials being developed now based on what we are learning about how the brain learns. These brain_friendly materials should be an improvement over what has existed. I recently bought a book by Marcia L. Tate titled "Mathematics Worksheets Don't Grow Dendrites." I highly recommend her book. She gives a great deal of information on alternative activities that are better for your child's brain development and for learning.
Another problem with almost all worksheets is that they don't prevent incorrect answers. Self_checking worksheets just let the student know they did something wrong__after the fact. I am a firm believer in the concept that, if at all possible, learning should be structured in small chunks in such a way that there is very little possibility for error. Worksheets often allow for mistakes to be made and then to be repeated many times. A mistake that gets practiced is extremely difficult to correct. This especially happens when worksheets are used as time fillers or baby sitters and the work isn't really being supervised.