What to do when client refuses range of motion therapy?

Range of motion exercises are usually necessary to regain motion or prevent futher loss of motion.  They can be very mundane for both the client and caregiver.  As a therapist, I make a point to explain why these exercises are important, i.e. if you lose more shoulder movement, it will become more difficult to dress yourself.  If possible, allow the client some control over when exercises are performed, create a checklist  to post progress.  Try to mix up the exercises, find out what time of day is best to perform, incorporating into bathing and dressing routine or perform during the commercial of their favorite tv show.  If a person is unable to take responsibility for their range of motion exercise program, then a caregiver must enforce some expectations, i.e. set a timer so client will know there is an end to the exercise and they can then move onto the next activity.