Inclusion Criteria:  Age 50 to 70 years With moderate fall risk (BBS Score 21-40) Both genders Controlled diabetes and hyper tension  Exclusion Criteria:  Patient with any type of surgical intervention which may hinder assessment or treatment Patient with any cognitive dysfunction. Patients with neurological disease (i.e. stroke, vestibular cochlear issue) Patients with any behavioral problem Patient with ischemic heart disease, Tumors