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Supra Malleolar Orthoses (SMO)

What Is a Supra Malleolar Orthoses (SMO)?

A Supra Malleolar Orthoses is a custom-made inner foot and ankle brace. Through the use of extremely thin, flexible thermoplastic, the SMO compresses the soft tissues of the foot stabilizing children while still allowing for natural development, improving standing balance, walking, running and an increase in ankle stability. The SMO may also help children who toe walk by preventing toe walking with a unique brace design.  

Indications Your Child May Need SMOs:

  • Pronation
  • Hypotonia
  • Triplanar instability in weight-bearing
  • Instability to stand independently
  • Mild toe-walking
  • Developmental delay
  • Delay in acquiring gross motor skills
  • Poor coordination or balance

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Understanding SMOs

What is an SMO?

SMOs, or SupraMalleolar Orthosis, are a type of orthotic device specifically designed for young children. They are made from a flexible material that can be molded to fit the contours of your child’s feet and ankles, providing the necessary support for proper alignment and function. SMOs are typically used for children who have issues such as flat feet, high arches, or other foot-related concerns.

How it Works

SMOs, or Supramalleolar Orthoses, are specialized braces designed to support the foot and ankle. They are typically used for children who have issues with pronation (walking flat-footed), hypotonia (low muscle tone), or other conditions affecting foot alignment and stability

Benefits of SMOs for Children

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Support for Growing Feet

Children’s feet are still developing, and they can be more susceptible to issues due to their rapidly changing anatomy. SMOs provide critical support that helps guide proper foot development during this crucial growth phase.

Improving Alignment

Poor foot alignment can lead to various problems, not just in the feet but throughout the body. SMOs help align the foot and ankle properly, which can prevent issues like knee pain, hip problems, and even back pain down the line.

Enhancing Mobility and Comfort

If your child experiences discomfort while walking, running, or playing, SMOs can alleviate that pain by providing cushioning and stability. This support can enhance their mobility, allowing them to engage more freely in physical activities.

Preventing Future Issues

By addressing foot and ankle problems early on, SMOs can help prevent more severe issues in the future. Early intervention can be key in avoiding complications that might require more extensive treatments later.


Types of SMOs

flex SMO

Flex

Revolutionary flexible SMO


Unparalleled comfort

All around compression

Soft proprioceptive heel


Low-tone patients (1-5 yo)

flex tw SMO

Flex TW

Flex for Toe Walkers


All benefits of Flex

Extended posterior height

Optimized design


Toe walking patients (1-5 yo)

fusion SMO

Fusion

2-material SMO


Unique hybrid design

Comfortable adaptive innerboot

Soft proprioceptive heel


Pronation & supination version

Fusion TW

Fusion TW

Fusion with posterior extension


All benefits of Fusion


Toe-walking patients

active SMO

Active

Heavy-duty SMO


Support & control

Thin, lightweight, breathable

Suitable for severe SMO cases


Wide range of patients

active XT

Active XT

Active SMO with extended height


All benefits of Active

Extended height

Additional strap


Wide range of patients

Servicing Minnesota in the Buffalo, Hutchinson, Plymouth and Waconia areas.

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