Background and Purpose: Participation restriction means lack of capability to participate in any activity or perform any activity. Participation restriction in older adults indicates lack of any older adult to perform any activity due to one or other problems whether physical or mental or social. This study enlists different reasons that influence participation restriction. Method: 27 different articles were searched about participation restrictions among elder adults and the factors that influenced the restriction. Out of these, 18 articles have been selected on basis of inclusion and exclusion criteria. All the articles showed different factors that affected the participation in elders. Stroke, impairment and many other factors that influence participation restriction and how the factors that correlate with each other in participation restriction. Result and Conclusion: Different studies have included different number of adults using different types of scales to assess the factors. The study’s result says that the factors assessed, affected the AL and PR of the adults.