Vitamin D deficiency is increasingly recognised as a common problem among older adults. In addition to the well-known role of vitamin D in calcium homeostasis and the maintenance of bone health, recent research has started to characterise the importance of vitamin D in neuromuscular function and the way this may relate to functional performance and falls risk in older adults. In this review we describe the current state of knowledge relating to the neuromuscular effects of vitamin D and discuss treatment options.