ALTRA. AL0A4VQ0442. MENS PARADIGM 5. DARK BLUE. The Paradigm 5 is a next-level support shoe that takes everything to the max-- Max cushion max performance and of course max support. It s lighter it s faster and it s loaded with innovative features like the powerfully plush Altra EGO midsole the medial there-when-you-need-it GuideRail and the super-supportive StabiliPods. Level up your road running with the Paradigm 5.