Inclusion Criteria:  ability to walk a minimum of 6m with or without a walking Aid observed balance impairment evaluated subjectively by a physical therapist during the initial training session (Berg Balance scale and time up and go test )  Exclusion Criteria:  people with amputated lower extremities using prosthetic leg those who underwent orthopedic surgery within the last 6 weeks Dependent on wheel chairs and bed ridden patients Dementia and Alzheimer's patients illiterate people