OtherJournal of neuroengineering and rehabilitation2026

Estimating and interpreting how humans prioritize multiple movement goals during walking.

Jordan N Feldman, David Morales Loro, Andrew Chin and 4 others

PMID 42021378

WHAT IT FOUND

Walking speed and step width variability reliably predict how much a person prioritizes balance and foot placement.

Energy expenditure and walking speed importance are poorly predicted by gait metrics alone. Models trained on individual data are more accurate than those applied to new patients.

Key findings

01Perceived importance of balance and foot placement strongly correlated with step width variability and foot placement error, respectively.

02Perceived importance of walking speed and energy expenditure showed only weak associations with their corresponding objective gait metrics.

03Models estimating goal priority had a 21% ranking error for new subjects but only 11% for subjects with prior calibration data.

STILL TO COME

How it was doneWhat they found

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What it does not show

The study involved only twelve healthy young adults, so findings may not apply to patient populations with movement disorders or different mobility capacities. Energy expenditure was not explicitly prompted, potentially affecting how participants prioritized it compared to visually guided goals. Self-reported importance ratings may reflect attentional focus or task novelty rather than true movement goal weights. Foot placement prompts did not elicit a linear response, suggesting participants may interpret or prioritize these goals differently.

Declared interests

Funded by the Kempner Institute for the Study of Natural & Artificial Intelligence at Harvard University and the Raj Bhattacharyya and Samantha Heller Assistive Technology Initiative Fund. No commercial conflicts of interest are reported in the provided text.

The easy way to misread this

Do not assume that gait metrics can accurately infer a patient's subjective priorities for energy conservation or walking speed. The study found weak relationships between perceived importance of these goals and their objective measures, unlike balance and foot placement which were better predicted.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →


The study

Participants
12 healthy young adults
Certainty of evidence
Low

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    Cite

    Jordan N Feldman, David Morales Loro, Andrew Chin, et al. Estimating and interpreting how humans prioritize multiple movement goals during walking. Journal of neuroengineering and rehabilitation. 2026.

    Read the original — we summarise, we never replace the paper.