# Falls among Older Adults: Screening, Identification, Rehabilitation, and Management
## 6 Rehabilitation and Management
### Technology  
In recent years, the importance of technology in fall rehabilitation and prevention has been increasingly studied, even in older individuals. This is relevant because, in recent years, great importance has been given to interactive technological physical and physical-cognitive training programs, which have proven effective in reducing the risk of falls [90; 91; 92]. With technology, it is possible to make precise measurements of certain parameters that are expressions of complex functions, such as balance. It is possible, through current technologies, to have a precise and accurate measurement of movement and rapid analysis of signals, which would not otherwise be possible with conventional methods [93]. A lower limb rehabilitation robot (Hunova(r) Movendo Technology SrI, Genova, Italy) was used to quantify and treat deficit in balance and proprioception related to post-COVID-19 syndrome and for physical treatment [94]; this is particularly relevant because of the impact of rehabilitation on the long-term effect of severe acute respiratory syndrome coronavirus [95]. Technological motor rehabilitation is a very interesting field and can suggest a choice for the most appropriate and personalized treatment for each patient. Two very recent randomized controlled trials intend to investigate the relationship between motor and cognitive performance in fragile patients who have undergone a technological physical rehabilitation by a robotic force platform ([PERSON](r) Movendo Technology SrI, Genova, Italy) (ClinicalTrials.gov Identifier: NCT05280587; NCT05459584) [96; 97]. In addition, it is possible to make a fall prevention or rehabilitation program targeted to the individual's needs and deficits. In addition, more generally, the term assistive technology refers to any device or system that enables an individual to perform an activity that they would otherwise be unable to do [98]. This type of technology makes it possible to improve life both at home and in nursing homes for older adults. For example, installing devices such as nonslip bath mats, stair handrails, or grab rails in bathrooms can improve home safety. Another intervention could be an improvement on lighting and edging for outside steps [99]. The use of this technology seems to reduce the risk of falls in older adults living in their own homes or nursing homes [100]. A growing number of studies also point to a possible role for gaming technology and virtual reality (VR). Video games or exergames, although they have been associated with negative events over the years, have important potential use in the medical field. Exergames created specifically for rehabilitative purposes have shown that they can improve health, balance control [101; 102], physical function [103], mobility [104; 105], and cognition [106] in older adults. In addition, this type of modality can help form a fun and motivating environment to perform therapy. Visual biofeedback and force plate systems, for example, are used to improve balance and mobility [107]. One study shows that the use of exercises based on video games can have significant effects over conventional physical exercises, even in patients with more physical difficulties [108]. In addition, it appears that they may play a role in improving not only physical, but also psychological health [109]. A recent protocol involving the use of exergames is being studied as a treatment for fear of falling [110]. One major problem associated with this type of modality is the acceptability of the proposed activity, which is generally not high among older people and the cost of the respective technologies. A potential advantage is that, following proper education, exergames can potentially be performed as home exercises. In recent years, wearable technologies have been developed, such as smartphones, smartwatches, and wristbands. The majority of the older population uses a smartphone, which makes this resource easily accessible [111].