Background: Falls pose a serious health risk for older adults, often resulting in injury and loss of independence. Age-related declines in strength, balance, and mobility increase this vulnerability. Supervised exercise programs aimed at improving these factors have been shown to effectively reduce falls and support safer movement in this group.

Objective: To compare the effectiveness of supervised exercise program and unsupervised homebased exercise program in fall prevention in older adults in terms of fall risk and mobility.

Method: A total of 60 elderly participants, all aged above 65 years, were recruited for the study and randomly assigned into two equal groups: Group A and Group B. Group A received a supervised exercise program conducted under the direct guidance of a trained professional. Group B was provided with an unsupervised exercise program, delivered verbally through instructions, and participants were asked to perform the exercises independently. The intervention for both groups was carried out over a period of 8 weeks.

Design: This was a comparative study.

Result: 60 participants were studied overall (Supervised Exercise group A, n=30; Home Exercise group B, n=30). From pre- to post-intervention, both groups exhibited notable gains in mobility (TUG), balance (POMA) (all p< 0. 01). Between-group studies found that the SUPERVISED group showed a notably higher decrease in TUG scores (mean % reduction: 20.9 vs. 15.6), POMA scores (mean % INCREASE: 38.2 vs. 11.3).