Background: One in three seniors falls at least once a year, making falls a serious public health concern. Increased mortality, injuries, loss of independence, and unfavorable psychosocial effects are all linked to falls. Aim of the study: To evaluate the effect of combined cognitive and motor interventions on muscle strength, balance, and daily activities among elderly people at risk for falls. Subjects and method: Design: A quasi-experimental study (study/control) was used in the current study. Setting: the study conducted at six geriatric homes at Minia governorate. Subject: total coverage of the elderly at selected places was comprised in the study. Tools of data collection: Four tools were used to gather data for this study: Structured interviewing sheet; Medical Research Council Scale for Muscle Strength and Berg Balance Scale and The Katz Activities of Daily Living. Results: It was found that, combined cognitive & motor exercises group had the highest scores for muscle strength, maintain balance, and becoming independently in performing activity of daily living (ADLs) post 24-week of exercises, compared with the control group. Conclusion: Combined cognitive and motor exercise interventions had an adequate influence on the improvement of balance, gait, activity of daily living, and muscle strength in the upper and lower limbs and decreased the risk of falling compared to motor intervention alone. Recommendation: Health education among elderly about the effects of combined and cognitive training exercises on balance, muscle strength, and activities of daily living through effective teaching media such as videos, role play, and demonstration.