The goal of this study ifs to determine the comparative effects of Lee Silverman voice treatment Big and dual task training on balance, cognition and functional mobility in older adults with cognitive impairment.

Perform LSVT big four times in a week for about 4 months. Perform dual task training four times in a week for about 4 months. Complete assessments at baseline, the 4th, 8th, 12th weeks, and a follow-up at the 16th week.

Outcome measures include Mini BESTest, MoCA, stroop test and time up and go test. Statistical analyses will assess within-group and between-group effects based on data distribution.

This study, titled "Effects of of lee Silverman voice treatment big and dual task training on balance, cognition and functional mobility in older adults with cognitive impairment" aims to assess the combined effectiveness of Lee Silverman voice treatment and dual task training in older adults with cognitive impairment.

Inclusion Criteria:

• Both male and female patients.
• Age limit for patients will be above 65.
• Patients with Mild and moderate cognitive impairment patients MoCA 13-25.
• Patients with Berge balance scale value 41-50.
• Patients who give consent to participate in study and undergo relevant test.

Exclusion Criteria:

• Patients with any musculoskeletal disorder in which these exercises are contraindicated.
• Patients using any walking aids.
• Patients with hearing impairment.
• Patients with other neurological conditions with limit the patient participation in planned exercise like stroke, Parkinson's.
• Patients with diagnosed psychiatric disorder or taking medication that affect cognitive function within 24 hours.