- 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.