Background: Traditionally, the manufacture of prostheses is time-consuming and labor-intensive. One possible route to improving access and quality of these devices is the digitalizing of the fabrication process, which may reduce the burden of manual labor and bring the potential for automation that could help unblock access to assistive technologies globally. Objectives: To identify where there are gaps in the literature that are creating barriers to decision-making on either appropriate uptake by clinical teams or on the needed next steps in research that mean these technologies can continue on a pathway to maturity. Study design: Scoping literature review. Methods: A comprehensive search was completed in the following databases: Allied and Complementary Medicine Database, MEDLINE, Embase, Global Health Archive, CINAHL Plus, Cochrane Library, Web of Science, Association for Computing Machinery, Institute of Electrical and Electronics Engineers, and Engineering Village, resulting in 3487 articles to be screened. Results: After screening, 130 lower limb prosthetic articles and 117 upper limb prosthetic articles were included in this review. Multiple limitations in the literature were identified, particularly a lack of long-term, larger-scale studies; research into the training requirements for these technologies and the necessary rectification processes; and a high range of variance of production workflows and materials which makes drawing conclusions difficult. Conclusions: These limitations create a barrier to adequate evidence-based decision-making for clinicians, technology developers, and wider policymakers. Increased collaboration between academia, industry, and clinical teams across more of the pathway to market for new technologies could be a route to addressing these gaps.

中文翻译：

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适用于假肢和矫形器的数字化制造技术的范围审查：第 1 部分（共 2 部分）—假肢

背景：传统上，假肢的制造既耗时又费力。提高这些设备的使用率和质量的一种可能途径是制造过程的数字化，这可能会减轻体力劳动的负担，并带来自动化的潜力，从而有助于在全球范围内畅通辅助技术的使用。目标：确定文献中存在哪些空白，这些空白对临床团队的适当采用或研究中所需的后续步骤造成决策障碍，这意味着这些技术可以继续走向成熟。研究设计：范围界定文献综述。方法：在以下数据库中完成全面检索：联合和补充医学数据库、MEDLINE、Embase、Global Health Archive、CINAHL Plus、Cochrane Library、Web of Science、Association for Computer Machinery、Institute of Electrical and Electronics Engineers 和 Engineering全村共筛选文章3487篇。结果：经筛选，共纳入130件下肢假肢物品和117件上肢假肢物品。文献中存在多种局限性，特别是缺乏长期、大规模的研究；研究这些技术的培训要求和必要的整改流程；生产流程和材料的差异很大，这使得很难得出结论。结论：这些限制为临床医生、技术开发人员和更广泛的决策者做出充分的基于证据的决策设置了障碍。学术界、工业界和临床团队之间在新技术进入市场的更多途径上加强合作可能是解决这些差距的一条途径。