Embodied Wearables: The Role of Proprioception in Exoskeleton Design.

This work endeavors to lay a solid foundation for the exploration and the considerations of exoskeletons, exosuits, and medical devices concerning proprioceptive feedback. This investigation is situated at the nexus of engineering, neuroscience, and rehabilitation medicine, striving to cultivate a holistic understanding of how mechanical augmentation, interfaced synergistically with human proprioception, can foster enhanced mobility and safety. This is especially pertinent for individuals with compromised motor functions.British Neurologist Oliver Wolf Sacks in 1985 published “The Man who Mistook His Wife for a Hat” a series of his most memorable neurological case describing the brain's strangest pathways. One of these cases is “The Disembodied Lady”, Christina a 27-year-old woman that lost entirely the sense of proprioception due to polyneuropathy. This caused her to not be able to control her body, and she declares that “I feel the wind on my arms and face, and then I know, faintly, I have arms and a face. It’s not the real thing, but it’s something—it lifts this horrible, dead veil for a while. ” Finally, she was able to control her body using vision alone. Dr. Sacks introduced, for the first time, the importance of proprioception, as the sense of position of body parts relative to other parts of the body, to western culture. This document’s mission is to identify unexplored concepts in the literature regarding exoskeletons, wearables and assistive technology and a user’s proprioception, embodiment and utilization when wearing devices. Dr. Philipp Beckerle suggests the need to research the connections between wearable hardware and human sense of proprioception. He also emphasizes the need for functional assessment protocols for wearables devices and the role of embodiment. He criticizes the current commercially available upper-limb prostheses since they only restore limited functions and therefore impede embodiment. This document’s goal is to identify operative solutions through the adaptation of existing technologies and to use effective solutions to improve the quality of life of people suffering from pathologies or traumatic injuries.