Abstract : Aquatic Exercise Therapy (AET), Land Exercise Therapy (LET), gait speed, balance, elderly. Objective to determine whether there is a difference between the effect of the provision of land and aquatic exercise therapy exercise therapy to increase the speed and balance in the elderly. Subjects are elderly Pepabri community, Paulan, Colomadu, which meet the inclusion and exclusion criteria 29 elderly people. This study was conducted with the design of two group pre test and post test design. Variable speed is measured by calculating the travel time to walk as far as 10 meters and the balance was measured using the berg balance scale. Hypothesis testing different test performed before, after treatment with the Wilcoxon test. Test of difference between groups I and II using ManWhitney test. Test the effect of walking speed and balance in aquatic exercise therapy group obtained p = 0.001 and the land exercise therapy group p = 0.001 so it can be concluded that aquatic exercise therapy and land exercise therapy to improve walking speed and balance of the elderly. Test the speed difference between the groups of aquatic exercise therapy and land exercise therapy p = 0.780 and the balance between the different test groups of aquatic exercise therapy and land exercise therapy value of p = 0.230 so that there is no difference between aquatic exercise therapy and land exercise therapy to improve walking speed and balance of the elderly. Aquatic therapy exercise the same influence with land exercise therapy to improve walking speed and balance of elderl