As the elderly population grows, increasing numbers of patients will be seeking rehabilitation because of falls or declining balance. In "Clinical Decision Making in Exercise Prescription for Fall Prevention" (May 2012), Terry Haines and colleagues analyzed the clinical decision-making processes used by expert clinicians to prescribe fall prevention exercises. They found that expert clinicians did not routinely provide "off-the-shelf" exercise programs; instead, the clinicians modified programs to meet individual requirements of each patient, based largely on examination findings. In this podcast, Haines, Anne Shumway-Cook, and moderator Kathleen Gill-Body discuss the study findings and the future of falls research. What are the factors influencing the clinical decision-making process in falls prevention? Are "off-the-shelf" exercise programs "good enough" at reducing falls? Do the individualized exercise programs provide additional benefit, or are they unnecessary? What strategies can be used to improve adherence? Do physical therapists need a new terminology to describe intensity and degree of difficulty of balance training?