Background: Down syndrome occurs due to abnormal cell division of extra chromosome 21. Strengthening exercise of lower limb and core strengthening of trunk muscle provide postural stability and lower limb strengthening. Aim of this research was to determine the effects of manual Ankle rocking training on postural control and foot function in children with Down syndrome.

Objective: To determine the effects of manual ankle rocking training on postural control and foot function in children with Down syndrome.

Method: This was a Randomized controlled trial and a non-probability convenient sampling technique was used. In this study, 30 children with Down syndrome were selected, 15 in the experimental group and 15 in the control group. Both groups received balance and core stability training, but only the experimental group received the manual ankle rocking training to assess the effects on postural control and foot function.

Result: Each group showed significant improvement in postural control and foot function (p<0.05) but the manual ankle rocking training combination showed better results in improvement.

Conclusion: This study concluded that performing balance exercises along with manual ankle rocking training had better results than doing balance and core stability exercises alone. Down syndrome children's postural control and foot function benefited from combo therapy.

 Key Words: Balance, Down syndrome, Postural control, Posture stability.