Improper shoe wear can quickly defeat a PRI program. Conversely the correct shoe wear can have dramatic positive effect on a program. Whether the patient needs more control of their heel bone and midfoot, or sensory guidance for proper gait mechanics, or cushion to sense the foot's impact on their body, the correct shoe can make all the difference. The inability to “sense” the floor makes it a challenge for a PRI therapist to successfully progress their PRI program. This is often caused by compensation from faulty foot mechanics and improper shoe wear. The ability to “sense” the floor and move with appropriate patterns of muscle activity is enhanced when proper footwear is provided to allow adequate support to obtain a functional position. The Hruska Clinic® recommended shoe list is reviewed and updated annually to provide individuals with choices of shoes that promote a successful PRI integrative program.