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Background: Descriptions of children with sensory dysfunction of the vestibular system are sparsely cited in the literature. Notable improvements in vestibular dysfunction have been seen in adults with physical therapy interventions. Case Description: The patient was a 2-year-old child with notable vestibular dysfunction, a history of recurrent ear infections and child neglect. Examination procedures were limited by lack of vestibular outcomes specifically in this young population. Interventions consisted of balance activities, improving tolerance to multidirectional perturbations and gross motor skills. Outcomes: Vestibular outcome measures were unable to be used due to the child’s speech delay. Objective observations and tolerance to activities were used to determine improvements. Discussion: The purpose of this case study was to highlight the use of physical therapy interventions and the successful progress after 20 sessions in a pediatric patient with sensory dysfunction of the vestibular system. Conclusion: There are limited metrics of vestibular outcomes, particularly in this young population due to limited speech, thus assessments are limited to indirect measures of vestibular function (i.e. symptoms). Exercise interventions that focus on the enhancement of sensory integrative postural control abilities in children could be effective for the arrest of the progressive motor development delay with vestibular impairment.