Balance is an ability that keeps the center of gravity within the base of support with a limited amount of sway, thus it is essential for postural control and activity 
. The clinical ability to control equilibrium is crucial for children. Neuromuscular abnormalities in children with Down syndrome, which have been observed to be coincident with developmental delays, include generalized muscular hypotonia, the persistence of primitive reflexes beyond their normal disappearance with age, and slowed reaction times during voluntary movement [10, 11]
The gross motor skills of Down syndrome children are consistently low compared to those of normal children, and balance shows the largest difference. It can affect cognition, sociality, and complicated motor abilities such as running and jumping 
Procedure: Ethical approval was taken from the ethical committee. The participants were selected from the special school according to inclusion & exclusion criteria by purposive sampling method. The selected participants were informed & written consent was taken from either school / parents. The students were assessed according to the Pediatric balance scale on different components. The data was then analyzed.
Result: 37 children with Down’s syndrome are at moderate risk of fall (92.50%) and rest 3 of them (7.25%), are at low risk. No ambulatory child with Down’s syndrome was found to be at high risk. The relation between the Age of the children and the risk of fall, correlation coefficient was calculated and the value obtained was; r= 0.17. Since the r value obtained is minimal, the correlation between Age and Risk of fall is insignificant.
Conclusion: Maximum number of children were reported to be at moderate fall risk as compared to low fall risk which had fewer children. Children with downs syndrome had minimal difficulty in performing sitting to standing while standing on one leg was affected the maximum.While comparing the age of children and risk of fall it was clinically proven that the risk of fall reduces as age increases, but statistically r value was insignificant.