According to a study published in International Psychogeriatrics, walking and balance problems, being overweight, and certain medications can create a genuine basis for the fear. Experts say a combination of psychological and physical therapies that addresses not just the fear, but also the risk of falling, stands the best chance of success.
Source: http://www.aarp.org/health/conditions-treatments/info-03-2013/common-phobias-photos.html
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