Surestep’s open heel modifications for supramalleolar orthoses (SMOs) and ankle foot orthoses (AFOs) allow pediatric patients to better feel the ground beneath their feet; this improved proprioception can be especially beneficial for children with sensory deficits. Additionally, Surestep states that this device alternation can slow loading response and promote posterior weight shifts. Despite heel post removal, use of circumferential compression allows the modified orthoses to control excessive pronation without locking the foot in subtalar neutral—similar to non-modified orthoses. A thin, molded inner boot is added to avoid pinching and maintain compression.
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