Themes of the ideal design specifics and purpose of off-the-shelf therapeutic stability footwear derived from section 2
| Theme | Region | Dimension/manufacture | Material/properties |
| Stability | Heel counter/stiffener | Extended to midfoot and towards topline. Robust anchorage to welt and outsole. | Stiffened material. |
| Topline | Extended above ankle To assist leverage of heel counter. | Leather. | |
| Outer sole | Wider than heel cup of upper Range of tread depths. Deepened tread for uneven terrain. Shallower for indoor use to avoid catching on the walking surface. Minimal heel forefoot differential to maximise stability. | Stiffer at the heel and midfoot. Hard wearing sole material. | |
| Upper | Leather with stiffened material properties. | ||
| Inlay/insole | Contoured to cup the child’s heel to improve the rearfoot fit. | ||
| Fastenings/facings | Facings extended to midfoot. | Lace fastenings. | |
| Forefoot rocker | Should not be so large to affect ground clearance in swing. | ||
| Ergonomics | Heel counter/stiffener | Range of available extensions to accommodate ankle anatomy. | |
| Topline | Padded collar and contoured to ankle anatomy. | ||
| Outer sole | Flexibility focused at the toe flex line. | ||
| Upper | Range of available dimensional adaptions to accommodate foot anatomy. Tongue adapted to avoid slippage under fastenings. Tongue length to provide comfort from fastenings. | Range of materials to allow breathability in warm climates. Wipeable material dependent on user’s continence. | |
| Fastening/facings | Facings extended to toe box to allow greater access to footwear for limited foot and ankle mobility. | Velcro or lace dependent on the patient’s dexterity. | |
| Inlay/insole | Contoured to cup the child’s heel to improve rearfoot fitting. Deep enough to simulate potential prescriptive orthoses. | ||
| Footwear kept to the lowest reasonable mass to reduce the physiological cost to a child in mobility. | |||
| Aesthetics | Upper | Range of colours. | Range of material. |