Right now, we have a huge national crisis which is falls among older adults. So much so that the US Senate spent their valuable time forming a committee on Fall Prevention (1), that is because 1 in 4 older Americans fall each year, leading to more than 3 million visits to the ER, a million hospitalizations, and 30,000 deaths; Making it the leading cause of fatal and non-fatal injuries for older Americans. The CDC measures it as a 50 Billion annual cost and that is why is a huge market that needs to be addressed.One of the main ways to prevent falls is via exercises to increase balance and stability. Participation in regular exercise can significantly improve balance and reduce the risk of falls in older adults.(2) Physical therapy is a great way to address this issue, but in the same manner like those that took a second language in high school and can only remember a few words, if you don’t continue to practice what you were taught you will forget it. So, the great benefits of Physical therapy get lost if the person goes home and does nothing. In Fact, the lack of movement increases the probability of falls.Research shows that exercise adherence following discharge from a physical therapy program is poor among older adults. This is mostly due to barriers such as fear of falling and fear of injury while exercising, insufficient time, lack of social support, no place to exercise, no transportation to an exercise site, and insufficient money to either buy exercise equipment or join an exercise facility. Additionally, increased stress and depression levels, increased age, decreased health status, and lack of enjoyment while exercising are also associated with poor exercise adherence.(2)