Sophisticated use of upper limb haptic interactions during adaptive locomotion.

Humans commonly engage in upper limb haptic interactions during bipedal locomotion, and the expansive use of our arms makes us unique compared to the quadrupeds we evolved from. Examples of these haptic interactions include walking while carrying an object, using environmental surfaces such as a railing to provide stability assistance, and holding hands while walking with another individual. These interactions may increase the complexity of our locomotor behaviors, such as when feedforward control is employed to dampen arm motion and dissipate reaction forces at heel contact to stabilize an object we are carrying. However, these interactions also increase the available sensory information in the upper limb and can be utilized to aid in locomotor adaptation. For instance, the interaction forces experienced when holding hands or during collaborative object transport can lead to an unconscious synchronization of gait patterns between the two individuals. Recent work has further suggested that upper limb haptic interactions may have clinical relevance for improving locomotion in pathological populations. This review brings a novel, integrative perspective by examining upper limb haptic interactions in locomotion across everyday, collaborative, and clinical scenarios. In particular, the review highlights the importance of studying upper limb haptic interactions from different viewpoints to gain insight into the neuromechanical control of adaptive locomotion, as well as to investigate how these interactions can be exploited for clinical use.