The Certified Standard SMO addresses orthotic management for pediatrics with significant forefoot, midfoot, and subtalar instability. The Standard SMO also addresses pediatric patients who present with excessive pronation and/or supination. The SMO is fabricated with a semi rigid thermoplastic providing good stability while still allowing ankle motion for standing, crawling, and/or walking. Line includes the Standard Molded Design, with Flexible Plastic Inner Boot, or Flexible Foam Inner Boot. The Standard SMO may be ordered custom by measurement, custom to scan, or custom to cast.