Based on Nagamatsu et al study, the medial frontal gyrus – a region implicated in motor planning – demonstrated hypo-activation in fallers when this compared to non-faller, providing evidence that the prefrontal cortex might play a central role in falls risk in older adults.
Please see the below in response to your questions.
In my view, there are no fundamental differences in the structure of the brain, but the difference in willingness and desire to accomplish in an individual