Re: SMO- Supramalleolar Orthosis

September 26, 2006

Hi Helen,

Some links and info on SMOs

SMOS, AOS, AND UC BERKELEY LABORATORY ORTHOSES (UCBLs)

According to Lin, " the design of an SMO mimics the effect of a high-

top sneaker or shoe but provides more intimate control of the ankle-

foot complex because of its custom-molded fabrication. " 7 An SMO is

indicated to assist in controlling ankle medial-lateral stability

during stance, but because of the shortened lever arm it is not

considered to be very effective in controlling sagittal plane

motion.7 An SMO can also control for rearfoot position and

pronation/supination of the foot.

SMO Supramallenea orthoses. Brace that holds foot and ankle in

alignment for weight bearing. Made of hard plastic. Worn inside shoe,

extends to just above ankle bones.

~ Gretchen

September 27, 2006

Thanks Gretchen

I'm not sure I understand some of it, though!!

I saw my neuro with week to discuss the genetic test results. It

turns out that I have two genetic defects that cause peripheral

neuropathy, plus an inflammatory thing going on. Evidently, the

second genetic anaomoly has been included in the PN panels for less

than a year. Three rare conditions in one person are too much for

him to take, so he's concluding that its part of a syndrome. Its

interesting because inflammation is treatable with IVIG and/or

steroids. I'm actually getting a second round of IVIG next week,

and it gives me a considerable boost in strength and energy. I

wonder how many of us actually have overlapping but as yet

undiagnosed inflammation? With my family history, many neuros may

not have pursued the conflicting symptoms.

By the way, at your recommendation I started Aqua Ai Chi! I have to

modify a few positions to maintain my balance, but its nice and

relaxing. And I've incorporated swimming into my cardio routine.

Swimming feels really good and stretchy on my feet.

Thanks for providing this site for us!

Helen

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