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One of the biggest concerns about fear of falling is that it leads some people to restrict their activities. Activity restriction is thought to lead to functional decline. This figure depicts a downward spiral of functioning. Activity restriction is thought to be particularly harmful because it may lead to deconditioning. Because of the reduced physical capabilities, seniors may restrict more and more activities, leading to reduced function and decreased independence.

As clinicians, the aspect of activity performance is necessary to examine in people that have a fear of falling.