Proper design of restraint equipment is essential to prevent stress on animals during handling, stunning and slaughter. A small design mistake which may appear to be insignificant to the engineer can be extremely detrimental to animal welfare. Operators of restraint equipment must be properly trained. Cattle will place their heads into stanchion (yoke) or chin-lift types of head-restrainers if they are gently moved forward by a rear pusher gate. Cattle confined in an upright ASPCA pen for religious slaughter will remain calmer if the apparatus is gently closed around them. The vertical travel of the belly lift should be restricted to 71 cm (28 in) — it should not lift the animals off the floor. The rear pusher gates should be equipped with a separate regulator to prevent excessive pressure from being applied. Stunning or ritual slaughter should be carried out within 10 seconds of the animal's head being restrained. The modified ASPCA pen described in the paper was seemingly humane when operated by people concerned about animal welfare.

The behavioural reactions and blood Cortisol levels of cattle stunned using a penetrating captive-bolt pistol whilst standing free in a stunning box were compared with those obtained from cattle similarly stunned but with their heads held in a hydraulically operated chin-lift type of head restrainer. Few (8 out of 55) animals voluntarily put their heads into the restrainer, most had to be ‘persuaded’ to use the head-restrainer; some (5 out of 24) could not be. The mean time between entry into the stunning pen and the stun for 23 free standing animals was 5.6s and for 19 animals which could be persuaded to use the head restrainer was 34.2s. The Cortisol levels in the blood taken at the stick, from 30 animals stunned while standing free was 67.6 nmoVlitre while that from 30 stunned while head-restrained was 143.1 nmolHitre. The behaviour and Cortisol results suggest that enforced usage of this type of head restrainer could be a cause of distress to the cattle involved.