Background <p>Falls are a common and serious problem among older adults, often leading to injury and functional decline. Understanding plantar pressure patterns and functional performance can help identify fall risk mechanisms.</p> Aims <p>This study aimed to compare plantar pressure distribution, balance, and functional parameters in older adults with high and low fall risk.</p> Methods <p>Twenty-nine older adults (mean age 72.76 ± 5.23 years) participated. Participants were divided based on Berg Balance Scale scores: high fall risk (<i>n</i> = 15) and low fall risk (<i>n</i> = 14). Static and dynamic plantar pressures were assessed using pedobarography. Functional mobility and balance were evaluated with the Functional Reach Test (FRT), Timed Up and Go Test (TUG), and 10-Meter Walk Test (10MWT).</p> Results <p>No significant differences were observed in static plantar pressure parameters. In dynamic analysis, non-dominant forefoot impulse was significantly higher in the low fall-risk group (<i>p</i> = 0.032), while dominant midfoot impulse was lower in the low fall-risk group (<i>p</i> = 0.041). Low-risk participants reached longer distances in FRT (<i>p</i> = 0.001) and completed TUG faster (<i>p</i> = 0.010), indicating better functional performance. 10MWT performance was better in the low-risk group but not statistically significant (<i>p</i> = 0.085).</p> Conclusions <p>Static plantar pressure parameters did not differ significantly between groups, but dynamic plantar pressure and functional tests did. Better FRT and TUG performance and higher non-dominant forefoot impulse were observed in the low-risk group. Evaluating fall risk should incorporate balance, time-dependent plantar pressure, and functional performance, guiding intervention strategies.</p>