People Who Walk on All Fours: Why Does It Happen?

While humans typically walk upright on two legs, some individuals exhibit a rare form of locomotion on all four limbs. This phenomenon, where people walk using both hands and feet, presents a fascinating area of study for scientists. Documented cases shed light on the complex interplay of genetics, neurology, and environmental factors that shape human movement patterns. This article delves into the nature of human quadrupedalism and its implications for understanding human biology.

Understanding Quadrupedal Locomotion in Humans

Quadrupedal locomotion involves using all four limbs, as seen in many animals. In humans, this means walking on both hands and feet. This differs from the crawling of infants, who typically move on hands and knees. While infant crawling is a temporary developmental stage, human quadrupedalism in adults is a distinct and often persistent gait.

The gait patterns in documented cases often involve placing the palms of the hands on the ground along with the feet, sometimes described as a “bear crawl.” Unlike the knuckle-walking of some non-human primates, these individuals bear weight on their open palms. Studies reveal they predominantly utilize a lateral sequence, where a limb on one side is followed by the ipsilateral forelimb. This contrasts with the diagonal sequence common in many non-human primates.

Documented Cases and Scientific Discovery

The most widely known instances of human quadrupedalism involve the Ulas family from a rural region in Turkey. This family gained international scientific attention around 2005-2006 when researchers investigated their unique walking style. Multiple siblings consistently move on all fours, using their feet and palms for support and propulsion.

Their distinct gait became the subject of extensive scientific inquiry and media documentaries, including “The Family That Walks on All Fours” by the BBC. Researchers were intrigued by this rare condition, which challenged conventional understandings of human locomotion and evolution. These observations provided an opportunity to study how the human body adapts to neurological impairments affecting balance and motor control, leading to an alternative mode of movement.

Underlying Causes and Neurological Basis

The quadrupedal gait observed in the Ulas family and similar cases is linked to a condition termed Uner Tan Syndrome (UTS). This syndrome is characterized by cerebellar hypoplasia, intellectual disability, and difficulties with speech. Cerebellar hypoplasia is the underdevelopment of the cerebellum, a brain part crucial for coordinating voluntary movements, balance, and posture.

Impaired cerebellar function leads to ataxia, a lack of coordinated muscle movements. Individuals find it challenging to maintain balance and walk upright, making quadrupedalism a more stable and effective means of mobility. Genetic studies have identified specific gene mutations, such as those in the VLDLR gene, in some families with UTS. The VLDLR gene plays a role in the reelin signaling pathway, essential for neuroblast migration during brain development, particularly in the cerebral cortex and cerebellum. The hereditary nature of this condition is complex and can involve different genetic factors.

The Broader Scientific Perspective

Studying individuals who walk on all fours offers insights into human biology. These cases provide a context for understanding the evolutionary transition from quadrupedalism to bipedalism in human ancestors. While initial theories suggested “backward evolution,” later research clarified that this gait is an adaptation to specific neurological conditions rather than a reversion.

These cases highlight the plasticity of the human brain and motor system. When the typical bipedal mechanism is compromised, the body adapts and develops alternative locomotion strategies. This demonstrates how motor learning and neurological pathways can reorganize to achieve functional movement. Ongoing research into such phenomena continues to deepen our understanding of human movement, brain development, and evolutionary pathways.