A team of researchers analyzed 518 quadrupedal walking strides from several videos of people with difference forms of UTS. They compared these walking strides to previous studies of the walking patterns of healthy adults who were asked to move around a laboratory on all fours.
According to the findings, nearly all human subjects (in 98 percent of the total strides) walked in lateral sequences, meaning they placed a foot down and then a hand on the same side and then moved in the same sequence on the other side. Apes and other nonhuman primates, however, walk in a diagonal sequence, in which they put down a foot on one side and then a hand on the other side, continuing that pattern as they move along.
"Although it's unusual that humans with UTS habitually walk on four limbs, this form of quadrupedalism resembles that of healthy adults and is thus not at all unexpected," Shapiro says. "As we have shown, quadrupedalism in healthy adults or those with a physical disability can be explained using biomechanical principles rather than evolutionary assumptions."
People with UTS more frequently use diagonal couplets than lateral couplets, but the sequence associated with the couplets is almost exclusively lateral.
"Each type of couplet has biomechanical advantages, with lateral couplets serving to avoid limb interference, and diagonal couplets providing stability," Shapiro says. "The use of diagonal couplets in adult humans walking quadrupedally can thus be explained on the basis of biomechanical considerations, not reverse evolution."