Karl is working with the concept of sensomotoric foot orthoses now for 20 years. They seem to be most effective in children but have some application in adults as well, usually in connection with a neurological disorder. Data collected over years for some cases will be presented.The presentation will cover the basic thought process and a number of cases that Karl worked on will be presented. Those include the use of sensomotoric foot orthoses in toe walking in a child with Autism Spectrum Disorder, the use of footwear modification sole stiffening and rocker and some examples on the use of sensomotoric orthoses in cerebral palsy as well as developmental delays. There is limited research available and some of the literature will be touched on including a study using sensomotoric orthoses in CMT.