Ambulation simulation systems, terrain simulation systems, treadmill systems, and related systems and methods

In particular embodiments, a treadmill may comprise one or more lifting mechanisms configured to lift and lower a treadmill belt (e.g., adjust an angle of the treadmill belt relative to a support surface) by adjusting a height of the front and rear of the treadmill about a pivot point. In particular embodiments, the pivot point may be positioned somewhat centered along a length of the belt. In particular embodiments, a seesaw arrangement may provide a central pivot point, providing a moment arm to the motor while decreasing a moment arm caused by the load (e.g., a runner). In this way, an apparent load on a motor providing incline and decline to the running surface may be reduced.