BACKGROUND/PURPOSE: Due to the rise in hospitalization morbidity and mortality among the elderly population, balance issues pose a significant problem for healthcare. Studies on the prevention of falls in the elderly have shown that exercise regimens can reduce the risk of falling and improve daily activities. This study aimed to investigate the effect of specific balance training of elderly population on uneven surface in comparison to general balance training on even surface. METHODS: The participants were randomly assigned to Group A (floor or even surface training), Group B (Swiss ball training), or Group C (Foam platform training). The Berg Balance Scale, Functional Reach Test, and non-equilibrium coordination test were used for pre-and post-assessment. RESULTS: In the present study, balance and coordination training on floor, swiss ball and foam platform resulted in a significant difference between the pre-and post-assessment of BBS and the coordination of the right and left sides. In addition, functional reach testing (FRT) revealed that while there was a significant improvement following swiss ball and foam platform training, there was no significant change between pre and post assessment after floor training. CONCLUSIONS: Balance training on an uneven surface, predominantly a foam platform, led to significant improvements in balance and coordination compared to training on a swiss ball or a flat surface.

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