For many middle-school children, math is a real challenge. It is at this age that the concepts begin to get more abstract, and work goes beyond "concrete" ideas like adding and subtracting. It's no surprise that at this age, math can become something the student avoids, or begins to dislike.
Subtract 1-, 2-, 3-, 4-, or 5-digit number from a 5-digit number
Granted, that will always be a tough uphill battle for math to win out over most video games, but the point is, students today are much more immersed in technology than ever before. So even if you need to pass out a math worksheet to review concepts and formulas, it will greatly benefit your cause if you design the worksheet to be as stimulating as possible.
Times are different these days. Kids are growing up in a world of microwaves, fast food chains, Nintendo, Wifi, iPads, along with a ton of other technical marvels.