Background <p>Globally, one in three adults over 65&#xa0;years experiences a fall each year, resulting in 37 million severe fall injuries annually, making falls a leading cause of disability and reduced quality of life. Despite evidence of hip and ankle strategies in postural control, few studies directly compare their role in functional mobility.</p> Aim/Objective <p>This study aimed to compare the effectiveness of hip resistance training and ankle resistance training in improving muscle strength, balance, and quality of life among older adults.</p> Methodology <p>A pretest–posttest experimental design was employed, involving 30 participants aged 65–80&#xa0;years, randomly allocated into two groups. Group A performed resistance exercises targeting ankle dorsiflexors and plantar flexors, while Group B focused on hip flexors and extensors. Both groups followed a 6-week intervention program with three sessions per week. Outcome measures, including muscle strength, balance, and quality of life, were assessed at baseline and post-intervention.</p> Results <p>Significant improvements in muscle strength (<i>p</i> &lt; 0.01) and balance (<i>p</i> &lt; 0.05) were observed in both groups, with Group A showing greater improvements in ankle strength and balance (<i>p</i> &lt; 0.01) compared to Group B. However, Quality-of-life improvements did not differ significantly between groups (<i>p</i> = 0.369), possibly due to the short intervention duration and the subjective nature of QoL assessments.</p> Conclusion <p>Ankle resistance training proved more effective than hip-focused training in enhancing muscle strength and balance in older adults. These findings underscore the importance of ankle-specific exercises in fall prevention and mobility enhancement strategies for the elderly population.</p>