Over the years, numerous footplates and molding techniques have been implemented to increase comfort, align the foot and ankle, and also help reduce spastic hypertonicity in patients. The STRUTS incorporate tone reducing modifications such as a toe ramp under the last four toes beginning in the toe sulcus to help relax the toe flexion. A metarsal push is added relieving pressure on the plantar aspect of the metatarsal heads. Grooves at the sustentaculum tali and peroneol pushes are incorporated to help control the calcaneus position. Wedges can be applied to help control coronal plane deformities such as hindfoot valgus and varus.

The STRUTS are streamlined to fit into shoes making them versatile and practical for the shoe wear to accommodate. Application for the use of the STRUTS has been with cerebral palsy, multiple sclerosis, stroke, and various other central motor neuron or tone inducing pathologies. The STRUTS are also helpful with patients such as from CMT to help reduce the toe flexion and control the varus. The uses vary from using them solely with the shoes to alternating with other orthoses such as AFOs and also to implementing them as a hybrid combination incorporated into an SMO or AFO design in which the plastic is molded over them and they are worn together.