A high-top silhouette offers ankle support for your little one in this podiatrist-approved sneaker with lightweight, flexible construction and a molded insole. Adjustable hook-and-loop closure with elastic laces Removable, cushioned insole with arch support Textile, synthetic and rubber upper/textile lining/rubber sole Imported American Podiatric Medical Association (APMA) Seal of Acceptance. Absolutely love these shoes. Enjoy!