ABSTRACT
Nearly a century of research has shown that humans, and other animals, tend to move in ways that minimize energy use. A growing body of evidence suggests that energetic cost is not only an outcome of our movement, but also plays a central role in continuously shaping it. This has led to an emerging research area, at the nexus between biomechanics and neuroscience, termed behavioural energetics, which is focused on understanding the mechanisms of energy optimization and how this shapes our coordination and behaviour. In this Review, we first summarize the existing evidence for and against our preferred locomotor behaviours coinciding with energy optima. Although evidence of our preference for energetically optimal gaits has existed for decades, new research is revealing its relevance across a surprising array of dynamic locomotor tasks and complex environments. We next discuss evidence that we adapt our gait toward energy optima over short timescales and in novel environments, which we view as a more stringent test that energy expenditure is optimized in real-time. This necessitates that we sense energy use, or proxies for it, on similar timescales. We therefore next provide an overview of candidate sensory mechanisms of energy expenditure. Finally, we discuss how behavioural energetics can be applied to novel wearable assistive technologies and rehabilitation paradigms, and conclude the Review by outlining what we see as the most important future challenges and opportunities in behavioural energetics.
Introduction
Although human biomechanists have traditionally studied the mechanical determinants of energetic cost, there is a growing interest in the inverse of this relationship – how our energy requirements determine how we move. For example, decades of fundamental biomechanical research has disentangled the energetic costs associated with various aspects of human gait, such as body weight support, propulsion and leg swing (Arellano and Kram, 2011; Arellano and Kram, 2014b; Donelan et al., 2004; Gottschall and Kram, 2003, 2005; Grabowski et al., 2005; Kipp et al., 2018; Kram and Taylor, 1990; Peyre-Tartaruga et al., 2021). These works largely frame energetic cost as the result of our mechanics. However, a growing body of evidence suggests that energetic cost is not only an outcome of our movement, but also plays a central role in continuously shaping it. This research area, bridging biomechanics and neuroscience, has been referred to as behavioural energetics (Selinger and Donelan, 2019). Here, we define it as a focus on ‘understanding the mechanisms of energy optimization and how this shapes our coordination and behaviour’.
Nearly a century of research has shown that humans, and other animals, tend to move in ways that minimize energy use (Alexander, 1996; Atzler and Herbst, 1928; Elftman, 1966; Molen et al., 1972; Ralston, 1958; Zarrugh et al., 1974). For example, humans typically walk at a speed that minimizes their cost of transport (calories expended per unit distance travelled) (Molen et al., 1972; Ralston, 1958; Zarrugh et al., 1974). At that speed, they also select other gait parameters, such as step frequency or width, that are also energetically optimal (Bertram and Ruina, 2001; Donelan et al., 2001; Holt et al., 1991; Minetti et al., 1995; Umberger and Martin, 2007). Although beyond the scope of this review, preferences for energy optimal locomotor behaviours have been demonstrated in other non-human animals, be it galloping horses, flying birds and swimming fish (Hoyt and Taylor, 1981; Li et al., 2020; Weimerskirch et al., 2001). That our preferred gaits coincide with energy minima suggests energy optimization is a fundamental principle of motor control but does not make clear over what timescale this optimization has occurred or is possible. There is evidence that the energy optimality of our gait is partially established over evolutionary timescales, through changes in body morphology and hardwired neural circuitry (Alexander, 1996, 2001; Rodman and McHenry, 1980; Sockol et al., 2007). It is also possible that, over our lifetime, our preferred gaits simply become energy optimal given years of practice that subtly tune our physiology and energy economy (DeJaeger et al., 2001; Ivanenko et al., 2007). However, adaptations over these timescales cannot satisfactorily explain energy-minimizing behaviours that occur in novel contexts over short timescales. Behavioural energetics focuses on an additional possibility: that energetic cost is continuously optimized, in real-time, to guide our movements. There is growing evidence that the principle of energy minimization may explain a surprising number of behaviours beyond steady-state healthy walking, including how we learn new motor coordination patterns, move intermittently and navigate obstacles (Brown et al., 2021; Daniels and Burn, 2023; Darici and Kuo, 2022; Long and Srinivasan, 2013).
Although energy minimization appears to be a primary motor control objective, it is certainly not the only objective, and its relative importance undoubtedly changes with context and task. Several other important factors, such as speed (time), stability, agility and avoidance of discomfort/pain (Bornstein and Bornstein, 1976; Carlisle and Kuo, 2023; Hunter et al., 2010; McDonald et al., 2022, 2019; Price et al., 2023), either in combination with or in addition to energetic cost, also influence our preferred movements. How we weigh each of these factors is likely affected by the movement task, environment and constraints on our body. However, when there is flexibility in how these other objectives are met, people appear to prefer energy optimal solutions. For example, you may walk faster to catch a departing bus, but within this speed constraint you still walk at an energetically optimal step frequency. Behavioural energetics is in its infancy, given how little we currently know about energy trade-offs with other competing objectives across different contexts. Studying when and how humans depart from energy optimal behaviour can provide insight into the relative importance of other objectives.
Real-time energy optimization, particularly in complex, changing or novel contexts, necessitates that the nervous system senses, integrates and re-evaluates energy expenditure along with other sensory signals. This, at its core, is a learning problem – and a challenging one. To allow for rapid adaptation, the nervous system must sense (or predict) energy expenditure (or some proxy for it) with minimal latency, but we know relatively little about how this is accomplished. Even with perfect sensing, the efferent nervous system has tens of thousands of motor units at its disposal, the firing rate of which can be adapted many times per second. This results in near countless degrees of freedom in possible motor coordination patterns that cannot be exhaustively explored over short timescales (Bellman, 1952; Bernstein, 1966). How the nervous system searches the expanse of possible coordination strategies remains an open and important question. Considering this, we view energy optimization in novel tasks as a learning process – one that may rely on approximation of the actual cost function, takes time and requires experience. This means that the nervous system may not immediately or perfectly converge on optima. Carefully designed experiments have revealed energetically irrational behaviours, even in situations where energy minimization appears to be an objective of the nervous system. These ‘mistakes’ may provide unique insight into sensing mechanisms and the limits of the explanatory power of energy optimization.
In this Review, we summarize historical and recent works in human behavioural energetics, and identify future opportunities and challenges in this emerging field. We first summarize the existing evidence for and against our preferred behaviours coinciding with energy optima. We next summarize evidence that our behaviours are adapted toward energy optima over short timescales. Here, we separate evidence into that which shows changes in energy cost track motor adaptation and drive motor adaptation, the latter of which we view as a more stringent test of real-time energy optimization. Next, we review candidate sensory mechanisms of energy expenditure, summarizing the existing evidence and outlining the theoretical advantages and disadvantages for each. We then discuss how behavioural energetics can be applied to novel wearable assistive technologies and rehabilitation paradigms. We conclude the Review by outlining what we see as the most important future directions in behavioural energetics. We have limited the scope of this Review to human locomotion, although we note that some have explored the principle of energy optimization in non-locomotor tasks, such as upper arm reaching (Huang et al., 2012; Kistemaker et al., 2010; Lyons et al., 2006; Wong et al., 2021).
Evidence that preferred behaviours coincide with energy optima
Fundamental characteristics of our gait align with energy minima. While the research we summarize here cannot disentangle whether energy minimizing gait characteristics are largely established over millennia, years or minutes, they nonetheless provide some of the most concrete and long-standing evidence that our preferred gaits minimize energy. The experimental approach used in many of these early studies is a simple one: to investigate the energy optimality of a given gait characteristic, a person walks at their preferred gait and is then directed to alter a gait characteristic of interest to higher and lower values, often using visual or auditory feedback. Each unique gait bout usually lasts five or more minutes to allow for steady-state measurements of metabolic energy expenditure from indirect calorimetry (Brockway, 1987; Poole and Richardson, 1997; Selinger and Donelan, 2014). The resulting relationship between the gait characteristic of interest and metabolic energy expenditure is termed the cost landscape or cost curve. In the sections below we present seminal experiments from walking, running and cycling, all largely conducted in steady-state laboratory conditions. We then review more recent works examining locomotion during non-steady-state and free-living settings, where tasks are more complex and competing objectives are likely.
Steady-state locomotion
Walking
Spatiotemporal gait characteristics tend to align with energy minima during steady-state, level walking. Ralston (1958) was among the first to demonstrate this for walking speed, showing that preferred speeds minimize the gross cost of transport (often normalized to body weight and measured in units of J m−1 kg−1 or cal m−1 kg−1) (Fig. 1A). Notably, the speed that minimizes the gross cost of transport is higher than the speed that minimizes net cost of transport, where the energy expenditure associated with basal metabolic rate (often assessed during standing, sitting or lying) is removed (Brooks et al., 2005; Glass et al., 2007). Most studies have replicated Ralston's findings, showing that preferred speeds align with gross cost of transport (Baroudi et al., 2024; Browning and Kram, 2005; Peyrot et al., 2012; Wickler et al., 2001), although others have shown alignment to net cost of transport (Courter et al., 2023; Gidley and Lankford, 2021; Rock et al., 2018) and some recent evidence suggests that, in free-living settings, speeds better align with net cost of transport (Selinger et al., 2022). This perhaps aligns well with Srinivasan's argument that minimizing the net cost of transport is akin to maximizing the distance travelled on a fixed amount of energy, whereas minimizing gross cost of transport is akin to minimizing the total daily energy consumption (Srinivasan, 2009). Srinivasan argues that the former is energetically rational in contexts where food is scarce and long distances must be travelled to secure it, and the latter is more energetically rational in contexts of many modern lifestyles, where that is not the case and sedentary times are higher. However, because there is no consensus (with some reporting that preferred speeds match the gross and others the net cost of transport), this limits the certainty we can have in these findings. When two possible formulations of the ‘optimal cost’ exist and measures are inherently noisy, it can create a relatively large range of preferred speeds that could be deemed ‘optimal’. Ideally, experiments would be powered to statistically rule out gross versus net optima (Selinger et al., 2022); however, this can require a prohibitively large number of participants. Other preferred spatiotemporal gait characteristics, such as step frequency, step length or step width, have also been found to minimize metabolic power (Bertram and Ruina, 2001; Donelan et al., 2001; Holt et al., 1991; Minetti et al., 1995; Umberger and Martin, 2007) (Fig. 1B,C). Here, when speed is fixed, energy expenditure is assessed per unit time, not distance, in units of power (W kg−1). This means that net and gross minima do not differ. Much of this experimental evidence is supported by insights from simple dynamic walking models that can reveal underlying trade-offs that lead to energy optima (Kuo, 2001, 2007; Kuo and Donelan, 2010). For example, the energy optimal step frequency can be understood as a trade-off between step-to-step transition costs, where leg collision losses require positive push-off work that decreases with faster step rates, and leg swing costs that increase with faster step rates (Donelan et al., 2002; Kuo, 2007). Decades of laboratory experiments and theoretical modelling have collectively demonstrated that in natural, steady-state, level walking conditions, our gaits are energy optimal.
Preferred gait characteristics and energy optima often coincide in steady-state locomotion. Cost landscapes for locomotor speed (A), step/pedal rate (B) and step width (C) for walking (red), running (blue), walk–run transition (purple) and cycling (yellow). Triangles illustrate preferred values and circles illustrate energy optimal values (minima). Horizontal lines represent ±1 s.d. and are presented when available. See Supplementary Materials and Methods for additional figure generation details.
Preferred gait characteristics and energy optima often coincide in steady-state locomotion. Cost landscapes for locomotor speed (A), step/pedal rate (B) and step width (C) for walking (red), running (blue), walk–run transition (purple) and cycling (yellow). Triangles illustrate preferred values and circles illustrate energy optimal values (minima). Horizontal lines represent ±1 s.d. and are presented when available. See Supplementary Materials and Methods for additional figure generation details.
When terrains are altered or tasks are constrained, there is clear evidence that people will forgo energy optimal gaits in some contexts. For example, Hunter et al. (2010) showed that in decline walking, instructing participants to walk in a ‘relaxed manner’ can decrease muscle activity and whole-body energy expenditure. Accompanying dynamic walking models predicted reduced actuation requirements during downhill walking and decreased stability (Hunter et al., 2010). Together, this suggests people do not fully exploit the propulsion provided by gravity and instead prefer a more stable, but costlier, gait. This finding is unique to decline walking – there is no known instruction that can be given during healthy level walking to reduce costs. Another example is a clever experiment by McDonald et al. (2022), which demonstrated that when explicitly forced to choose between a crouch gait causing high ‘fatigue-like’ muscle activation or an incline gait leading to higher metabolic cost, participants chose the latter. This suggests that factors such as local muscle fatigue or unfamiliar coordination patterns may cause people to prefer energetically suboptimal solutions. Alternatively, a muscle activation-based control signal may be sensed and optimized instead of, or as a sometimes-flawed proxy for, whole-body metabolic cost (discussed further in the section ‘Candidate sensory mechanisms of energy use’). These departures from energy optimal gaits offer insights into the importance of other objectives, such as stability or avoidance of discomfort, in each context. Methods for systematically assessing and quantifying the relative importance of key gait objectives – energy, stability, speed/time, agility and pain/discomfort – across varying tasks, terrains and individuals would greatly benefit the field.
Running
Since Margaria et al.’s early experiments published in 1963, human runners were thought to consume a constant amount of energy for a given distance travelled, regardless of running speed (Carrier et al., 1984; Margaria et al., 1963; Menier and Pugh, 1968). That is, although the cost of running per unit time increases with increasing speed (for a given amount of time, it is costlier to run faster), the cost of running per unit distance was thought to be near independent of speed (for a given distance, one was thought to burn a similar number of calories whether running fast or slow). This trait has been hypothesized to confer a competitive advantage to our early ancestors during long-distance hunting by allowing them to adapt their running speed to be least economical for their prey, with minimal energetic consequence (Bramble and Lieberman, 2004; Carrier et al., 1984). However, more recent experiments by Wall-Scheffler and others more carefully measured energetics across a range of speeds and repeats on a treadmill, and found that while the gross cost of transport curve is shallower in running than walking, there is nonetheless an energetically optimal running speed that corresponds to runners' preferred speed (Rathkey and Wall-Scheffler, 2017; Steudel-Numbers and Wall-Scheffler, 2009; Willcockson and Wall-Scheffler, 2012) (Fig. 1A). This optimum appears to correspond to runners' preferred speed when asked to select a pace they could comfortably sustain for 1 h, for example when they are out for a jog and not a race (Rathkey and Wall-Scheffler, 2017). This is distinct from a runner's performance capability (i.e. competitive race times), where minimizing time is the explicit goal. Interestingly, some evidence suggests that an energy optimal running speed (be it gross or net) is more evident in experienced runners, who more consistently modulate cadence with speed and tend to have higher aerobic capacities (Cher et al., 2015). This suggests that optima may be developed or refined with training, although to our knowledge no study has directly tested this. Numerous experiments have demonstrated that runners also select other gait parameters, such as step frequency (Gutmann et al., 2006; Snyder et al., 2012; Swinnen et al., 2021), step length (Gutmann et al., 2006), step width (Arellano and Kram, 2011) and arm swing (Arellano and Kram, 2014a), to minimize metabolic cost across level, incline and decline conditions (Sheehan and Gottschall, 2013; Snyder and Farley, 2011) (Fig. 1B,C).
Cycling
Unlike walking and running, cycling is a form of locomotion where preferred coordination patterns do not align well with energy minima. For example, Marsh and Martin (1993) found that the most economical cycling cadence (an analogous metric to step frequency) was roughly 50% lower than preferred cadences; however, this large difference results in only ∼5% elevated costs (Fig. 1B). Here, participants were pedalling on a stationary bicycle at 200 W, and preferred cadence was that which participants selected when instructed to pedal at a pace that would be comfortable for an extended period (>1 h). Formenti et al. (2019) more directly measured the degree of oxygenation (tissue saturation index) in the vastus lateralis during cycling across a range of cadences using near-infrared spectroscopy (NIRS). However, a clear relationship between preferred cycling cadence and the degree of oxygenation was not found (Formenti et al., 2019; Shastri et al., 2019). Others have investigated what distinct objectives might explain these preferences, including minimizing lower extremity net joint moments (Marsh et al., 2000) and applied pedal forces (Sanderson, 1991). Muscle activation-based metrics are also a leading hypothesized objective (Brennan et al., 2019; Riveros-Matthey et al., 2023 preprint). In human cycling experiments, optimal cadences for summed muscle activation metrics tend to be indistinguishable from net metabolic power (Brennan et al., 2019). However, recent work by Riveros-Matthey et al. (2023) used musculoskeletal modelling to dissociate the two and showed that preferred cadences more closely aligned with simulated averaged muscle activation volume than energy expenditure. Given that cycling kinematics are highly constrained (limiting the ability to make compensatory changes to muscle activation), avoiding individual muscle fatigue may be a particularly important priority, as higher cadences do appear to affect muscle oxygenation near the ventilatory threshold (Formenti et al., 2019; Shastri et al., 2019). Or, given that cycling is a relatively new form of locomotion, and not one we have evolved for, it is possible that activation is a flawed proxy for energy use in this particular context. However, over longer durations, preferred and energy optimal cadences do begin to converge (Brisswalter et al., 2000), suggesting the nervous system may be slowly optimizing for cost or upweighting the relative importance of energy over longer rides.
Non-steady-state locomotion
Recent studies have begun to explore the principle of energy optimization in more free-living contexts – during non-steady-state locomotion and across complex or changing terrains. This is important given that steady-state laboratory conditions may bias findings toward energy-based objectives and do not accurately reflect daily locomotion, where we string together many short bouts of steps between rests or non-walking behaviours (Orendurff et al., 2008). Transient costs associated with changing speeds could account for 4–8% of our daily energy budget (Seethapathi and Srinivasan, 2015). If energy optimization is a general movement principle, it should have explanatory power during more complex free-living tasks. However, directly and accurately measuring metabolic energy expenditure during dynamic movements is difficult (Ingraham et al., 2019; Selinger and Donelan, 2014). A necessary limitation of many of the studies discussed below is that optimal control models, in combination with available steady-state metabolic cost data, are used to predict time-varying energetically optimal behaviours.
Walk–run transitions, mixtures and changing speeds
There exists a particular speed at which it becomes metabolically more expensive to walk than to run: the walk–run transition speed (typically around 2 m s−1 or 0.5 Froude number) (Diedrich and Warren, 1995; Hreljac, 1993). Humans will switch from a walking to running gait near this speed; however, several groups have scrutinized whether that switch is metabolically driven (Mercier et al., 1994; Minetti et al., 1994; Raynor et al., 2002; Rotstein et al., 2005). Most studies report that participants transition to a run at a speed ∼5% lower than the speed that minimizes gross cost of transport when the treadmill speed is gradually increased (Abe et al., 2019; Rotstein et al., 2005; Ziv and Rotstein, 2009). However, this lower transition speed appears sensitive to the treadmill speeding up (walk–run) or slowing down (run–walk), equates to only a 1–2% increase in energy cost and is not reproduced during overground locomotion, suggesting it may be an artifact of the experimental paradigm (Abe et al., 2019; Van Caekenberghe et al., 2010; Ziv and Rotstein, 2009). An extensive review of other proposed objectives to explain the walk–run transition point can be found in Kung et al. (2018).
In more ecological settings, people appear to select walk–run–rest mixtures and dynamically change their speed in accordance with the principle of energy minimization. Long and Srinivasan (2013) asked participants to travel a given distance overground and prescribed the amount of time they had to do so, thus constraining their average speed. As expected, participants walked the entire distance when given ample time and mostly ran when time was limited. Importantly, at intermediate speeds, participants used a mixture of walking and running bouts, as opposed to choosing one constant locomotor speed. Using existing cost of transport data and computational optimization, the authors demonstrated that the effective cost curve (one generated by selecting the lowest expenditure gait at any given speed) is non-convex at the intersection of the walk and run curves (Long and Srinivasan, 2013). This non-convexity, by definition, means that the lowest attainable average energy rate is only realized using a mixture of walking and running gaits near the intersection speed (as opposed to exclusively walking or running) – precisely as participants do (Fig. 2A). This formulation holds even when transient costs (the energy cost associated with accelerating or decelerating between gaits) are considered (Long and Srinivasan, 2013; Seethapathi and Srinivasan, 2015). However, there are locomotor behaviours not explainable by the Long and Srinivasan (2013) model. When switching between rest and walking (or vice versa), people gradually increase (or decrease) their speed, as opposed to immediately walking at the optimal steady-state speed (Carlisle and Kuo, 2023). This results in a speed versus time trajectory that is an inverted U-shape. Carlisle and Kuo (2023) explained this behaviour using a computational walking model that included a cost proportional to time. By optimizing an objective function that includes both energy and time, their model can explain individual- or context-dependent vigour when selecting speed (how much one values time relative to energy). This may explain why some people tend to walk faster than others (Labaune et al., 2020), why city size affects pedestrian walking speed (Bornstein and Bornstein, 1976; Levine and Bartlett, 2016) and why we are willing to rush to catch that departing bus.
Humans exhibit energy optimal behaviours in non-steady-state locomotion. (A) A mixture of walking and running gaits are energy optimal near the intersection of the walk (red) and run (blue) cost landscapes, given the non-convexity of the effective cost curve (dashed curve). Participants self-select these walk–run mixtures (black line, grey shading is 25th to 75th percentile) when in the transition region between 2 and 3 m s−1 (vertical dashed lines), while selecting mostly walking and mostly running at lower and higher speeds, respectively. Data from Long and Srinivasan (2013). (B) When navigating turns of various radii, people select speeds that are predicted by energy optimality (black line, grey shading is ±2% of optimal energy cost). Red circles are across participant median speeds and error bars indicate the 25th to 75th percentile. Data from Brown et al. (2021) . (C) When navigating cuboidal holes in the ground (of lengths 0.5–1.1 times leg length and depths of 0.1–0.5 times leg length), people select a strategy – stepping ‘over’ or ‘down and up’ – that is predicted by energy optimality. Red circles are across participant mean proportion for each length-depth combination (±1 s.d. as horizontal lines). Solid shaded red line represents the fitted logistic curve and dashed lines represent 95% confidence interval. Data from Daniels and Burn (2023). See Supplementary Materials and Methods for additional figure generation details.
Humans exhibit energy optimal behaviours in non-steady-state locomotion. (A) A mixture of walking and running gaits are energy optimal near the intersection of the walk (red) and run (blue) cost landscapes, given the non-convexity of the effective cost curve (dashed curve). Participants self-select these walk–run mixtures (black line, grey shading is 25th to 75th percentile) when in the transition region between 2 and 3 m s−1 (vertical dashed lines), while selecting mostly walking and mostly running at lower and higher speeds, respectively. Data from Long and Srinivasan (2013). (B) When navigating turns of various radii, people select speeds that are predicted by energy optimality (black line, grey shading is ±2% of optimal energy cost). Red circles are across participant median speeds and error bars indicate the 25th to 75th percentile. Data from Brown et al. (2021) . (C) When navigating cuboidal holes in the ground (of lengths 0.5–1.1 times leg length and depths of 0.1–0.5 times leg length), people select a strategy – stepping ‘over’ or ‘down and up’ – that is predicted by energy optimality. Red circles are across participant mean proportion for each length-depth combination (±1 s.d. as horizontal lines). Solid shaded red line represents the fitted logistic curve and dashed lines represent 95% confidence interval. Data from Daniels and Burn (2023). See Supplementary Materials and Methods for additional figure generation details.
Obstacle avoidance and complex terrains
There is new evidence that the locomotor speeds and paths we choose during non-straight-line walking – when turning and avoiding obstacles – can also be explained by energy optimality. Brown et al. (2021) measured net metabolic cost while participants walked overground in circles of varying radii at constrained speeds, allowing them to derive a turning radius versus walking speed cost landscape. Using these data, they mathematically predicted energy optimal behaviours across a range of complex path trajectories (Fig. 2B). Their computations can explain a surprising range of naturalistic human walking behaviours (many of which one might have assumed were governed by other objectives such as stability). For example, energy optimality can explain why we turn slowly and avoid sharp turns, as well as how we navigate around obstacles and through corridors or doorways. They counterintuitively showed that the shortest path between two points is not always energy optimal and people will walk longer distances to save energy (Brown et al., 2021). There is also new evidence that, when confronted with uneven and irregular terrain surfaces, anticipatory adjustments to gait can be explained by energy optimality. When choosing between stepping across a hole in the ground or down and back up, people prefer the energy rational strategy across a wide range of hole depths and lengths (Daniels and Burn, 2023) (Fig. 2C). Similarly, when stepping across uneven terrain, people make anticipatory speed adjustments that are consistent with minimizing energy expenditure (Darici and Kuo, 2022, 2023). Planning in advance of complex terrain and making these anticipatory step adjustments necessitates the use of vision to predict an energetically rational locomotor strategy.
Free-living locomotion
Advances in wearable technology have created new opportunities to understand the relevance of behavioural energetics in more complex free-living settings. Some groups have partnered experimental measures of energetics with free-living observations of behaviour from global positioning system (GPS) and inertial measurement unit (IMU) data to leverage the benefits of each approach (Baroudi et al., 2024; Selinger et al., 2022). For example, using a commercial database of thousands of recreational runners, Selinger, along with Delp and colleagues, showed that preferred speed is largely unaffected by the distance run and is consistent with the speed that minimizes the net cost of transport (Selinger et al., 2022). Baroudi et al. (2024) used a similar approach in walking to show that preferred speed is often energy optimal (aligns with gross cost of transport) but is influenced by walking context. For example, participants on average walked faster if commuting compared with other contexts (behaviour likely captured by an objective function that includes both energy and time to account for urgency; Carlisle and Kuo, 2023). Technologies and methods to estimate energy expenditure from wearable devices during dynamically changing movements in free-living settings have also improved significantly (Ingraham et al., 2019; Mohammad et al., 2023; Slade et al., 2021). As these approaches and technologies gain wider acceptance and validation, they will provide new insights about the relationships not only between energetics and mechanics, but also task demands, built environments and social contexts.
Evidence that behaviours are adapted toward energy optima
Alignment between preferred and energy optimal behaviours, as evidenced in the previous section, could occur over lifetime or evolutionary timescales for commonly encountered contexts. Here, we explore evidence suggesting that energetically favourable preferences can adapt over short timescales, on the order of minutes, even in novel environments that contradict past experiences. We consider this a more stringent test of the energy optimization hypothesis and evidence that energy may be sensed and optimized by the body in real-time.
Evidence that changes in energy cost track gait adaptations
In novel locomotor contexts, reductions in energy expenditure have been shown to track kinematic adaptations over time. For example, in split-belt treadmill walking, where the belt under one limb moves faster than the other, walkers change step lengths over time to reduce asymmetries (Reisman et al., 2005). This has long been framed as minimization of sensory prediction error, where adaptation toward symmetrical steps reduces discrepancies between expected and actual sensory consequences (Choi et al., 2009; Morton and Bastian, 2006). Finley et al. (2013) were the first to demonstrate that reductions in metabolic cost track motor adaptations toward symmetry, suggesting that economy may be driving these changes in coordination. This adaptation involves learning to use the positive work produced by the split-belt treadmill, thereby reducing the required biological power and resulting metabolic energy expenditure (Sanchez et al., 2019), although the adapted step lengths appear to coincide with an optimal solution that combines minimizing energy and mechanical costs (Sanchez et al., 2017). That a split-belt treadmill can provide external assistance makes it analogous to more obvious assistive devices, such as lower-limb exoskeletons. Growing evidence suggests that, with time and experience, humans donning exoskeletons adapt their motor coordination to reduce metabolic energy expenditure (Abram et al., 2022; Ferris et al., 2007; Poggensee and Collins, 2021; Sawicki et al., 2020; Zhang et al., 2017). However, in all these experiments, causality is difficult to establish. Are kinematic or kinetic metrics being optimized and is metabolic energy coincidently lowered? Or, is metabolic energy being directly optimized and are kinematic or kinetic adaptations a means to that end? Moreover, without an unambiguous energetically optimal solution, it is unclear whether these behaviours reflect true energy optimization or are merely adaptations towards habitual behaviours that are satisfactory solutions (de Rugy et al., 2012; Loeb, 2012).
Evidence that changes in energy cost drive gait adaptations
Experimental paradigms that intentionally manipulate the energetic consequences of movement provide a stronger test of the energy optimization hypothesis. Our group, along with others, have developed real-time closed-loop mechatronic systems to intentionally shift the cost landscape minima, directly testing whether energy optimization drives locomotor adaptations, rather than simply tracks them. In an early experiment, Selinger, along with Donelan and colleagues, used an actuated knee exoskeleton to make resistive torques proportional to participants' step frequency, shifting the energy optimal step frequency either higher or lower (Selinger et al., 2015, 2019) (Fig. 3A). The authors showed that following adequate experience, participants adapted to the novel optima – discovering, adopting and learning to predict the new gaits – even when the energetic benefits were small (Fig. 3B). Using a similar closed-loop manipulation, Roemmich et al. (2019) coupled asymmetric stepping and treadmill gait speed, creating a situation where the preferred step length symmetry was no longer energetically optimal (Fig. 3C). They, too, demonstrated that people altered their preferences toward the novel energy optima, forgoing step length symmetry (Roemmich et al., 2019) (Fig. 3D). The Donelan group, along with Selinger, have since reproduced the original findings using a distinct paradigm that manipulated optimal step width (Abram et al., 2019). However, less clear evidence has been found when their paradigm is applied to overground walking where speed and terrain vary (Wong et al., 2019), as well as when landscapes are more dramatically altered using forces at the waist (Simha et al., 2021). This may be due to competing priorities, such as stability (McDonald et al., 2019), fatigability (McDonald et al., 2022) and/or discomfort (Yandell and Zelik, 2016), as well as a more challenging credit assignment problem (where ascribing costs to particular muscles or gait characteristics may be more difficult; Minsky, 1961; Sutton and Barto, 2018; Wolpert et al., 2011). Collectively, approaches that manipulate cost landscapes in real-time offer a more stringent test of the energy minimization hypothesis and a paradigm to interrogate the mechanisms that underlie it.
Altering energetic consequences can drive gait adaptation. (A) Experimental paradigm in which exoskeletons are used to apply a resistance to the limb that is proportional to the participants' step frequency, altering the energy optimal step frequency. (B) Resulting cost landscapes with optima shifted to a higher (red, penalize-low controller) or lower (blue, penalize-high controller) step frequency, compared to natural walking (grey, controller off). Circles indicate across participant averages. The lines are fourth-order polynomial fits for illustrative purposes, and the shading shows their 95% confidence intervals. (C) Experimental paradigm where step length asymmetry was coupled to treadmill speed, altering the energy optimal step symmetry/speed combination. (D) Resulting cost landscape with optimum shifted to an asymmetric gait. The blue circles indicate across participant average, error bars are 1 s.e.m. The blue line is a second-order polynomial fit for illustrative purposes. Grey vertical bars represent the proportion of participants choosing each asymmetry/speed combination. Adapted, with permission, from Selinger et al., 2015 (A,B) and based on Roemmich et al., 2019 (C,D). See Supplementary Materials and Methods for additional figure generation details.
Altering energetic consequences can drive gait adaptation. (A) Experimental paradigm in which exoskeletons are used to apply a resistance to the limb that is proportional to the participants' step frequency, altering the energy optimal step frequency. (B) Resulting cost landscapes with optima shifted to a higher (red, penalize-low controller) or lower (blue, penalize-high controller) step frequency, compared to natural walking (grey, controller off). Circles indicate across participant averages. The lines are fourth-order polynomial fits for illustrative purposes, and the shading shows their 95% confidence intervals. (C) Experimental paradigm where step length asymmetry was coupled to treadmill speed, altering the energy optimal step symmetry/speed combination. (D) Resulting cost landscape with optimum shifted to an asymmetric gait. The blue circles indicate across participant average, error bars are 1 s.e.m. The blue line is a second-order polynomial fit for illustrative purposes. Grey vertical bars represent the proportion of participants choosing each asymmetry/speed combination. Adapted, with permission, from Selinger et al., 2015 (A,B) and based on Roemmich et al., 2019 (C,D). See Supplementary Materials and Methods for additional figure generation details.
In these novel contexts, where energetic consequences are manipulated, the nervous system must search for new optimal coordination patterns. We have previously framed this as a reinforcement learning problem – where the nervous system could continually search (explore) for more optimal gaits or could simply remain at (exploit) a gait that is expected to be optimal (Selinger et al., 2019). Movement variability in learned and novel contexts can offer insight into the mechanisms of energy minimization. For example, Selinger, along with Donelan and colleagues, found that participants with naturally high step-to-step variability (explorers) are more likely to spontaneously adapt their gait to novel optima. Those with lower variability (exploiters) can be encouraged to begin optimization if provided with the experience of a lower cost gait (Selinger et al., 2015, 2019). Relatedly, Abram et al. (2022) found that when learning to walk with assistive lower limb exoskeletons, gait variability increased upon initial exposure to the new context and then decreased with experience. They suggest this general reduction in variability, which was correlated with decreased energy expenditure, represents a reduction in the search space as the nervous system adapts toward a new optimal gait. Poggensee and Collins (2021) also demonstrated that exposure to varied exoskeleton torque profiles (external variability) benefited learning. While these studies offer insight into the mechanisms that may underlie real-time energy optimization, much remains to be understood.
Candidate sensory mechanisms of energy use
If humans adapt their movements, over short timescales and in novel contexts, to reduce energy expenditure, the nervous system must be capable of sensing energy (Dean, 2013). However, little is known about what physiological sensors may provide a measure or estimate of energy, what sensorimotor pathways and projections are involved, and how various energetic sensory signals are centrally weighted and integrated over time. Here, we summarize the evidence for various hypothesized sensory pathways (Fig. 4), emphasize the theoretical advantages and disadvantages of each, and highlight existing knowledge gaps.
Candidate sensory mechanisms of energy use. (A) Possible local (red) and global (blue) sensors that indirectly or directly estimate energy use. Note that an efference copy (dashed line), derived from a motor command, is not a feedback sensory mechanism, but could be used to generate a feed-forward prediction about the energetic consequences of movement. (B) Theoretical plot of each sensor's response latency versus directness. (C) Conceptual diagram illustrating how behavioural energetics may involve indirect sensors that inform fast prediction and direct sensors that inform a slower optimization process to alter preferred gait mechanics. Adapted, with permission, from O'Connor and Donelan (2012). See Supplementary Materials and Methods for additional figure generation details.
Candidate sensory mechanisms of energy use. (A) Possible local (red) and global (blue) sensors that indirectly or directly estimate energy use. Note that an efference copy (dashed line), derived from a motor command, is not a feedback sensory mechanism, but could be used to generate a feed-forward prediction about the energetic consequences of movement. (B) Theoretical plot of each sensor's response latency versus directness. (C) Conceptual diagram illustrating how behavioural energetics may involve indirect sensors that inform fast prediction and direct sensors that inform a slower optimization process to alter preferred gait mechanics. Adapted, with permission, from O'Connor and Donelan (2012). See Supplementary Materials and Methods for additional figure generation details.
Blood gas chemoreceptors
Blood gas chemoreceptors, which provide direct information regarding the internal metabolic and chemical state within the bloodstream, are logical candidates for sensing energy use. These sensors, located at the brainstem medulla oblongata and the aortic and carotid bodies, are sensitive to blood oxygen (O2) and carbon dioxide (CO2) (substrates and byproducts of oxidative metabolism, respectively) (Casaburi et al., 1977; Heymans, 1927; Whipp and Ward, 1998), and could therefore provide a ‘global’ (whole-body) measure of energy use. Moreover, these sensors have been shown to directly affect respiration during exercise. At the onset of exercise, when the energy demands of the body increase, ventilation rate rapidly increases, leading to greater O2 concentration in the bloodstream, which facilitates muscle cells in consuming more energy through cellular oxidative metabolism. Blood gas chemoreceptors are thought to contribute to ventilatory control because their afferent feedback precedes changes in ventilation (Casaburi et al., 1977; Forster et al., 1993; Whipp and Ward, 1998) and surgical removal of these sensors blunts the ventilatory response to exercise (Lugliani et al., 1971; Miller and Tenney, 1975; Wasserman et al., 1975). Given that chemoreceptors directly sense substrates and byproducts of metabolism, and appear to regulate physiological processes in response to changing energy demands, they are logical sensors of the body's total energy use. This may also suggest that blood gas chemoreceptors could be sensitive to a measure more akin to gross cost, whereas other more local, muscle-level sensors may reflect net cost. However, the response from these sensors can have a significant latency of ∼10–20 s (Dahan et al., 1990; Smith et al., 2006), owing to the time taken for the change in peripheral blood gas concentrations to reach chemoreceptors (∼10 s; Band et al., 1980) and the time taken for a change in blood concentrations to elicit an afferent response (∼1–6 s; Black et al., 1971; Fitzgerald et al., 1969). To test whether these chemoreceptors are used to sense and optimize energy expenditure during walking, Wong et al. (2017) used a custom end-tidal forcing gas control system developed by O'Connor et al. (2016) to manipulate breath-by-breath inspired gas concentrations (a proxy for arterial blood gas concentrations). They did so as a function of step frequency, creating a simulated energetic minimum (with high O2 and low CO2 concentrations) away from the naturally preferred step frequency. Importantly, the actual energetic cost of walking was left unchanged. Despite this manipulation causing a substantially higher ventilation rate and perceived exertion, participants continued at their normally preferred step frequency, suggesting that blood gas chemoreceptors play a negligible role in sensing energy use. However, it is possible that the manipulated chemoreceptors were downweighted by the nervous system in favour of other unperturbed energy-sensing pathways. It may also be that a global measure of energy expenditure in isolation, without supporting and non-contradictory signals from muscles, creates a unique challenge, as little information about how to adapt is available. Testing whether blood gas chemoreceptor manipulations can disrupt adaptation toward energy minimum in established paradigms (Abram et al., 2019; Roemmich et al., 2019; Selinger et al., 2015) could provide additional insight.
Group III/IV metabosensitive muscle afferents
Some group III and IV muscle afferents are sensitive to metabolism byproducts, making them another logical candidate for sensing energy use. These muscle afferents respond to the accumulation of lactic acid, potassium ions and hydrogen ions in the muscle (Rotto and Kaufman, 1988; Rotto et al., 1989; Rybicki et al., 1985), and in turn contribute to the exercise pressor reflex (Amann et al., 2010; Kaufman and Hayes, 2002). This reflex triggers muscle sympathetic nerve activity to increase ventilatory and circulatory responses during exercise, and can signal muscle fatiguability (Gandevia, 2001). Blunted cardiovascular response occurs during blood flow occlusion, leading to metabolite accumulation (Adreani and Kaufman, 1998; Crisafulli et al., 2011), or when central projections of group III and IV muscle afferents are anesthetized (Amann et al., 2010, 2011). Blood flow restriction at the leg during walking increases energy expenditure and alters kinematics (Mendonca et al., 2014; Walden et al., 2023), although the cause of these changes is unclear. These afferents could provide an estimate of energy use localized to a muscle or muscle region, simplifying the credit assignment challenge in comparison to a ‘global’ energy estimate. However, it may also require that the nervous system sum and weight expenditures from various muscles to produce a whole-body estimate of cost, if that metric is ultimately optimized. Group III and IV afferents display different latencies following muscular contraction. Group III afferents are more mechanosensitive, responding within 0.03–0.2 s, although their response is modulated by surrounding metabolites. Group IV afferents are more metabosensitive, displaying slower responses (5–30 s) that may reflect metabolite accumulation (Kaufman and Hayes, 2002; Kaufman et al., 1983, 1984; Mense and Stahnke, 1983). A direct closed-loop test of the ability of these afferents to affect preferred movements has not been pursued (and would be experimentally challenging, given the need to isolate and control the metabolic environment of one or more muscles).
Proprioceptive mechanosensitive muscle afferents
Mechanoreceptors in the muscles and joints can convey information about the body's posture, movement and exerted forces, which could collectively be used to estimate energy use. For example, muscle spindles that sense length/velocity and Golgi tendon organs that sense force/tension could in combination estimate muscle mechanical work and power, which are reasonable proxies for muscle energy use (Blum et al., 2017; Jami et al., 1985; Windhorst, 2007). These sensors have the advantage that they are both local, providing information at the muscle level, and rapid, with latencies in the order of tens of milliseconds (Cameron et al., 2014). To test proprioceptive influence on energy optimization, Hubbuch et al. (2015) applied vibrations to the Achilles tendons to disrupt muscle spindle accuracy during imperceptible changes to treadmill incline (0 to 2.5%) during walking. Participants showed delays in reaching steady-state gaits compared with controls, suggesting that proprioceptive feedback plays a role in sensing energy cost. However, the small changes in metabolic cost in this paradigm (∼1.2%) and complexity of muscle spindle afferent sensitivity (Blum et al., 2020) leaves unclear the exact role of proprioceptors in sensing energy cost. Future studies could leverage new understandings about lower-limb muscle spindle (Lin et al., 2019; Mildren et al., 2019) and Golgi tendon (Faist et al., 2006; Fallon and Macefield, 2007) response dynamics to further investigate their role in energy optimization.
Vision for prediction
Vision, accompanied by prior experience, can be used to predict energetically favourable movements. For example, from pictures alone people can identify energy optimal riser heights (Warren, 1984). And, as previously discussed, vision is used to plan navigation strategies that minimize energy cost in advance of walking over complex terrain (Daniels and Burn, 2023; Darici and Kuo, 2022, 2023). To directly test the role of vision in energy minimization, O'Connor and Donelan (2012) used virtual reality to couple and then manipulate the relationship (ratio) between visual flow and walking speed. When exposed to the paradigm, initially participants rapidly adjust their speed to return the visually presented speed back toward their preferred walking speed, but then gradually return to the true energy optimal speed they preferred before the manipulation. Although the authors did not directly measure metabolic expenditure, they conclude that vision is used to rapidly adjust speed toward preferred, and likely complements a slower process that minimizes energy expenditure. How and over what timescale vision-based energetic predictions are updated or recalibrated in response to more permanent changes to the body (for example, motor or sensory injury or decline) is an open question.
Muscle activation and effort: sensing proxies or distinct objectives?
Muscle activation-based metrics have been proposed as an alternative dominant optimization objective. These metrics, which are often experimentally estimated from surface electromyography of primary and measurable muscles, span a range of computational formulations. In some cases, signals from multiple muscles are weighted based on active muscle volume (estimated from lookup tables of muscle cross-sectional area along with measured electromyography activation), and then summed, providing a more global measure of total activation or effort (Miller et al., 2012; Sheehan and Gottschall, 2013). In other cases, only select muscles are used or cost functions are applied to penalize large activations from any particular muscle, irrespective of size. This provides a more local measure of high activation or fatigue (Ackermann and van den Bogert, 2010; Amann, 2011; Brennan et al., 2019; McDonald et al., 2022). In other words, global effort-based objectives represent total activation associated with the exercise, while local fatigue-based objectives capture high activations from select muscles. Although effort-based muscle activation metrics are sometimes framed as an alternative objective to energy (McDonald et al., 2022), they can be viewed as a promising candidate for sensing energy use. These measures are related to the fraction of metabolically active muscle and can provide local and rapid information (even in advance of a movement if an efference copy is used). Indeed, in most naturally occurring movements, these optima are likely coincident (Brennan et al., 2019; McDonald et al., 2022; Miller et al., 2012). Fatigue-based muscle activation metrics, which are more agnostic to total effort or expenditure, may be better framed as a distinct objective.
Both experiments and computational modelling have been used to investigate whether muscle activation-based metrics or metabolic energy expenditure are better (or distinct) optimization criteria in human movement. In naturally occurring movements, such as steady-state walking, running and cycling, experimentally measured muscle activation metrics and metabolic energy expenditure often change in unison and cannot be dissociated from one another (Brennan et al., 2019; McDonald et al., 2022; Miller et al., 2012). This suggests the nervous system may use muscle activation as a proxy for energy use. In musculoskeletal simulations of human gait, minimizing total muscle activation tends to outperform simulations that minimize energy cost alone (Ackermann and van den Bogert, 2010; Gidley et al., 2019; Miller et al., 2012) (although existing energy models are error prone; Koelewijn et al., 2019) and may underestimate cyclic muscle activation costs (Doke and Kuo, 2007; van der Zee and Kuo, 2021). As previously discussed, McDonald et al. (2022) decoupled these metrics using a forced-choice paradigm and found that participants chose an incline gait, despite it resulting in higher whole-body metabolic cost, over a ‘crouch gait’, potentially to avoid local muscle fatigue. This could be viewed as one piece of evidence that muscle activation-based objectives are optimized during gait, and whole-body metabolic cost is not. Although numerous formulations of other objective functions could explain locomotor behaviours in particular contexts and tasks, there is a fundamental evolutionary rationale for minimizing energy, given that calorie scarcity can threaten survival. Another interpretation is that this decoupling is not often naturally encountered and has, in a sense, tricked the sensory system. Finally, it is also possible that preferred gaits may differ when a person is asked to make an explicit choice. Participants optimizing for energy expenditure appear to do so implicitly, being unaware of their gait adaptation and unable to articulate their new preferences (McAllister et al., 2021). Overall, it remains unclear whether muscle activation is used to estimate whole-body energy expenditure/effort or instead provides a distinct fatigue-based objective.
Multisensory integration in energy optimization
It is logical that we would use several, or all available, sensory signals to estimate energy in order to optimize our movements – exploiting the advantages and mitigating the disadvantages of each in a given context (Fig. 4). Although all aforementioned sensors could be argued to sense a ‘proxy’ for energy, some are certainly more direct than others, and are therefore less likely to be erroneous in novel contexts. Each sensor's dynamics are also associated with differing latencies and may therefore inform different stages of the optimization process. Some sensors provide information about local, muscle-level energetics, while others provide a more global, whole-body measure. The ability to sense changes in energy use with varying directness, latencies and resolution may help inform the optimization process across a range of contexts and provide redundancy in the face of sensory disruption. Given that all sensory pathways are subject to latencies and some level of noise, the nervous system may perform a form of state estimation, where information from multiple sensory pathways is used alongside an internal model to best predict energy state. Understanding whether or how these sensory cues are weighed across our lifespan or after injury may have important implications in facilitating healthy aging and rehabilitation.
Applications in assistive device design and adoption
Energy-driven preferences may complicate the intended function of devices designed to augment human movement. For assistive exoskeletons and prosthetics, parameters such as actuation timing or device stiffness are often tuned to reduce metabolic cost (Dellon and Matsuoka, 2007; Dollar and Herr, 2008; Sawicki et al., 2020), mimicking a dominant objective of the nervous system (Selinger et al., 2015, 2019). This can be done heuristically through iterative testing, or more recently using human-in-the-loop optimization (Ding et al., 2018; Malcolm et al., 2013; Zhang et al., 2017). In a simplistic view, a well-designed and controlled device applies joint torques or performs work to replace that typically performed by active muscle, reducing metabolic cost. An implicit assumption is often that gross gait kinematics with the device are unchanged; however, when implemented, these devices can create unexpected and complex interactions between the body's dynamics and the user's adaptive strategies. For example, along with Hawkes and colleagues, Selinger tested whether human running economy could be improved by adding a simple spring between the swinging legs of a human runner (Simpson et al., 2019). When wearing the device, costs associated with leg swing decrease (as expected), but runners also increase their step frequency (shorten their stride) to realize larger savings associated with performing less work on the centre of mass during stance (Fig. 5). In fact, depending on the landscape slopes (or marginal costs) of swing and stance gait components, one could design a device to reduce the cost of swing but find these costs increase when the user adapts to minimize total energy expenditure. This principle can be generalized to other gait components and devices, illustrating that human preferences for energy optimal gaits should be carefully considered when modelling, designing and controlling devices to assist locomotion (Koelewijn and Selinger, 2022).
Relevance of behavioural energetics in assistive device design. (A) Compared with natural running (red), running with the exotendon (blue) increased the energy optimal step frequency and decreased metabolic energy expenditure. Red squares and blue circles represent individual participant data points; lines are quadratic fits for illustrative purposes. Shading shows the 95% confidence intervals of the fits. (B) Theoretical diagram outlining the hypothesized mechanism of energy savings when running with an exotendon, where both swing and stance costs (COM work) are decreased. Reprinted from Simpson et al. (2019). See Supplementary Materials and Methods for additional figure generation details.
Relevance of behavioural energetics in assistive device design. (A) Compared with natural running (red), running with the exotendon (blue) increased the energy optimal step frequency and decreased metabolic energy expenditure. Red squares and blue circles represent individual participant data points; lines are quadratic fits for illustrative purposes. Shading shows the 95% confidence intervals of the fits. (B) Theoretical diagram outlining the hypothesized mechanism of energy savings when running with an exotendon, where both swing and stance costs (COM work) are decreased. Reprinted from Simpson et al. (2019). See Supplementary Materials and Methods for additional figure generation details.
Given that adaptation toward energy optimal gaits can be complex and time-consuming, a deeper understanding of how training and feedback can expedite the process would benefit assistive device designers and users. Although many have focused on the benefits of optimizing exoskeleton device parameters to achieve energy savings, users' internal optimization (evidenced through motor adaptation and learning in response to the device) appears to play a substantial role – accounting for one-quarter to two-thirds of metabolic cost reductions by some estimates (Poggensee and Collins, 2021; Zhang et al., 2017). As previously discussed, a user's internal gait variability and external variation in training conditions may enhance the magnitude and rate of adaptation toward energy optimal gaits (Abram et al., 2022; Poggensee and Collins, 2021). Visual feedback of joint kinematics can also aid users in more quickly adapting toward cost reductions (Kim et al., 2022). A large body of motor control and learning literature exists that can provide insight into how practice and feedback can be optimally designed, leveraging concepts such as motor consolidation, massed and distributed practice, and internal and external feedback (Donovan and Radosevich, 1999; Janacsek and Nemeth, 2012; Wulf, 2013). Applying these concepts could reduce the time and experience required for users to adapt to novel assistive devices and lead to greater cost reductions.
Applications in rehabilitation and training
An ability to intentionally and precisely alter energy optima, and consequently preferred gaits, has important implications in clinical rehabilitation and athletic training. Although we adapt toward energy optimal behaviours, we have scant evidence that cost landscapes can be more permanently altered with training interventions. With age, injury and obesity, preferred walking speed tends to decrease, often resulting in higher cost of transport (cost per unit distance) (Boyer et al., 2023; Browning and Kram, 2005; Das Gupta et al., 2019; Schrack et al., 2012; Tesio et al., 1991; Zamparo et al., 1995). In addition, for a given gait speed, the metabolic cost of walking tends to be higher (cost per unit time) (Christiansen et al., 2009; Hortobagyi et al., 2011; Imms et al., 1976). This may be either due to neurological or mechanical changes to the body, or because other objectives, such as reducing pain or increasing stability, are now more important (Awad et al., 2023, 2015; Coyle et al., 2019; Gast et al., 2019; Matsubara et al., 2015; Van Hooren et al., 2024). Traditional rehabilitation strategies tend to directly target the desired kinematically ‘normal’ gait, often through repetitive practice under the guidance of a therapist (Fig. 6A). The expected outcome is that the desired gait will eventually be adopted, and high energetic costs will decrease (da Cunha et al., 2002; Reisman et al., 2013). An alternative approach recently tested by Roemmich et al. (2019) directly targets the energetic consequences of movement to incentivize adaptations (Fig. 6B). Here, the hypothesis is that the desired gait will be naturally adopted by the individual, leading to more effective and enduring rehabilitation. Roemmich et al. (2019) were the first to test this novel therapeutic approach using their previously discussed paradigm that linked walking speed to step length symmetry. They found that most post-stroke participants in the study adapted toward a more symmetrical gait when it was made more economical, illustrating that people will alter clinically relevant features of walking to save energy (Roemmich et al., 2019). Although it is unclear whether naturally preferred step asymmetries in this population are predominantly driven by energy minimization (Nguyen et al., 2020), it appears that energetic incentives can still affect gait change. Analogous, overground paradigms using wearable exoskeletons could be designed to target symmetry or other common clinically relevant outcomes, such as walking speed (Lakmazaheri et al., 2024), joint loading and pain (Raitor et al., 2024), or stability and fall risk (Raitor et al., 2024).
Relevance of behavioural energetics in rehabilitation and training. (A) Conceptual diagram illustrating the difference between traditional and energy incentivized rehabilitation approaches. (B) Theoretical outcome of an energy incentivized rehabilitation approach, where the cost landscape is intentionally altered to realign the energy optima with the desired gait characteristic.
Relevance of behavioural energetics in rehabilitation and training. (A) Conceptual diagram illustrating the difference between traditional and energy incentivized rehabilitation approaches. (B) Theoretical outcome of an energy incentivized rehabilitation approach, where the cost landscape is intentionally altered to realign the energy optima with the desired gait characteristic.
Paradigms relying on external mechatronic systems to alter energetic landscapes can help answer an important fundamental question: will a population of interest adapt toward clinically relevant gait features when energetically incentivized to do so? An important related question is: how can exercise training or rehabilitation alter landscapes toward desired gaits over time without these complex external systems? There is evidence of some alignment between preferred and energy optimal gaits across populations of various ages (DeJaeger et al., 2001; Mian et al., 2006), body types (Browning et al., 2006; Browning and Kram, 2005) and mobility challenges (Herr and Grabowski, 2012; Roemmich et al., 2019). However, to our knowledge no study has examined how, or whether, training can affect energy optimal gaits over short timescales and within an individual. A deeper understanding of the relationships between muscle function, energetics and mechanics may allow for targeted exercise interventions that align energetic incentives with desired goals, kinematic or otherwise. Whether this is possible and whether it demands a radically different approach than targeting desired kinematics remains an open question.
Existing challenges and future opportunities
We identified several exciting opportunities for future work in behavioural energetics. Within each of the preceding sections, knowledge gaps emerged that we think are of greatest importance. (1) There is a need for experiments and methods to systematically quantify the relative importance of energy minimization and other key objectives (see ‘Evidence that preferred behaviours coincide with energy optima’). Here, as some have begun to do (Carlisle and Kuo, 2023; Skinner et al., 2015), energy expenditure can be used as a ‘common currency’, where trade-offs with other objectives can be assessed based on the number of calories one is willing to forgo. An ability to quantify how trade-offs change across tasks, environments and within individuals is of both fundamental and applied importance, particularly in free-living settings. (2) There is a need to better understand the mechanisms that underlie energy optimization (see ‘Evidence that behaviours are adapted toward energy optima’). While there is emerging evidence of the importance of varied experience, either through internal movement variability (Abram et al., 2022; Selinger et al., 2019) or external training (Kim et al., 2022; Poggensee and Collins, 2021), how the nervous system performs this optimization in real-time – navigating an expanse of possible movements to arrive at the optimal solution – is largely unknown. (3) There is a need for experiments to examine what sensory pathways inform energy optimization (see ‘Candidate sensory mechanisms of energy use’). While several candidate pathways have been identified, direct evidence of their role in real-time movement optimization is often lacking. Moreover, while integrating signals from multiple sensory sources would confer many advantages, little is known about whether or how this is done, and how weighting of signals may change with time, task and context. (4) There is a need to account for how energy-driven preferences will complicate assistive device function and take a more systematic and theory grounded approach to user training (see ‘Applications in assistive device design and adoption’). Here, a renewed focus on the human side of this human–machine interaction, including the incorporation of motor learning principles, may be the key to continued performance improvements and cost reductions. (5) There is a need to further explore whether energy-driven preferences can be leveraged to alter movements toward clinically relevant outcomes (see ‘Applications in rehabilitation and training’). Exciting new work shows that altering energy optimal behaviour is possible with mechatronic training systems or assistive devices (Abram et al., 2019; Roemmich et al., 2019; Selinger et al., 2015; Simha et al., 2021; Zhang et al., 2017). It would also be useful to understand whether targeted rehabilitation and training interventions can achieve this in a more permanent fashion and without external devices.
Human behavioural energetics offers a lens through which we can understand a broad range of human locomotor behaviours. While evidence of our preference for energy optimal gaits has existed for decades, new research is revealing its relevance across a surprising array of dynamic tasks and complex environments. Although much remains to be understood, new experimental paradigms are allowing researchers to study this process in real-time and are creating opportunities to investigate the sensory pathways and mechanisms that underlie energy optimization. These fundamental insights could have important applications in designing novel rehabilitation strategies and assistive devices to improve human mobility.
Acknowledgements
We thank the Queen's Neuromechanics Lab, J. M. Donelan and the anonymous reviewers for their helpful comments and suggestions that greatly improved the manuscript. Many of the ideas and frameworks presented in this Review were discussed at the Behavioural Energetics Symposium at the International Society of Biomechanics (Calgary, 2019). J.C.S. would like to thank all participants, in particular her co-organizer J. M. Donelan for his mentorship and support.
Footnotes
Author contributions
Conceptualization: J.C.S.; Investigation: M.J.M.; Writing – original draft: M.J.M., A.C., J.C.S.; Writing – review & editing: M.J.M., A.C., J.C.S.
Funding
This work was supported by a Vanier Canadian Graduate Scholarship from the Government of Canada (294181 to M.J.M.), by the New Frontiers in Research Fund – Exploration from the Government of Canada (NFRFE-2018-02155 to J.C.S.) and by a Natural Sciences and Engineering Research Council of Canada Discovery Grant (RGPIN-2019-05677 to J.C.S.). Deposited in PMC for immediate release.
Special Issue
This article is part of the Special Issue ‘Integrating Biomechanics, Energetics and Ecology in Locomotion’, guest edited by Andrew A. Biewener and Alan M. Wilson. See related articles at https://journals.biologists.com/jeb/issue/228/Suppl_1.
References
Competing interests
The authors declare no competing or financial interests.