Thirty-seven million falls require medical attention each year with the majority suffered by adults over the age of 60. Reinvestment explains how conscious control of well learned movement has a detrimental effect on performance in a range of activities and propensity for this is measured with the Movement Specific Reinvestment Scale (MSRS). The current systematic review is the first to assess the effects of reinvestment on the risk of falling for adults over 60 years old. Searches were completed on CINAHL, PubMed, SportDiscus and Science Direct for papers published between January 2010 and December 2022. Key phrases searched were “Movement Specific Reinvestment Scale falls elderly” OR “Movement Specific Reinvestment Scale falls older adults”. Reference lists of included papers were searched manually with relevant articles sourced. Experimental design studies that utilised MSRS and measured performance outcomes based on a falls related metric with adults over 60 years old, without specific diagnosed cognitive impairment, neurological or musculoskeletal conditions were included. Assessment of quality was completed using the Critical Appraisal Skills Programme (CASP) (2023) checklists by one researcher. Numeric data and results extracted from original papers were included in tables. Narrative review was completed for summary of findings and analysis. Fifteen studies (participants n = 761) were included. Six themes became evident within the literature and were investigated in narrative review: History of Falling; Anxiety; Task Difficulty; Manipulation of Attention; Prediction of Performance Outcomes; Visuospatial Recognition. The review provides insight into conscious motor processing as a factor in the performance of activities associated with the risk of falling as well as considerations and recommendations for future research.