Introduction: A–T is an autosomal recessive cerebellar ataxia. The prevalence is estimated to be <1–9/ 100,000. Case presentation: 7 years old female child, came to the physiotherapy OPD with complain of difficulty in walking and breathing, and H/O frequent fall, intentional tremors, generalized body weakness and fatigue Management and Outcome: Multimodal rehabilitation programme included relaxation, exercises to prevent secondary complication, improve chest expansion, balance, trunk control, gait & Functional independence. Outcome measures were SARA, BBS, TUG, Barthel Index and Trunk Impairment scale. Discussion: In a total duration of 12 weeks there was a considerable improvement in static and dynamic balance, mat exercises and gym ball training helped to improve trunk control. Added to this patient improved on gait and had a functional independence. Conclusion: Relaxation Exercises, Balance and Mobility Exercises, Gait Training, Co–ordination Exercises and Functional Training had a significant effect on improving the Quality of Life of a 7–year old child with Ataxia Telangiectasia.