The Impact of Cast Walker Design on Metabolic Costs of Walking and Perceived Exertion

Although metabolic costs were unaffected by CW design changes, which may reflect the absence of anticipated changes in kinematics that impact MCoT, perceived exertion was reduced through such changes. Unanticipated biomechanical changes may reflect a complex interaction among a number of competing factors that dictate behavior and MCoT. The differing results in perception of exertion and metabolic costs might be due to participants' perceived exertion being sensitive to the collective impact of interacting biomechanical factors, including those not quantified in this study. Future work should seek to directly evaluate the impact of CW design changes in patients with DFU and the relationship to adherence.