Abstract：
BACKGROUND: Fit and alignment are observable objectives of the prosthesis rendering process for individuals with lower limb amputation. Nevertheless, there is a dearth of validated measures to directly assess the quality of this clinical procedure.
OBJECTIVE: The objectives of this scoping review are to evaluate existing measurement parameters and clinical outcomes used in investigations of transtibial socket fit or prosthetic alignment and to identify gaps in the literature regarding tools for evaluation of prosthetic fitting.
METHODS: Scoping literature review.
METHODS: A comprehensive search was conducted in the following databases: MEDLINE (through PubMed), Embase (through Elsevier), Scopus (through Elsevier), and Engineering Village (through Elsevier), resulting in 6107 studies to be screened.
RESULTS: Sixty-three studies were included in the review. When measuring fit, studies most frequently reported on patient-reported comfort (n = 22) and socket size compared with the residual limb volume (n = 9). Alignment was most frequently measured by the prosthetists\' judgment and/or use of an alignment jig (n = 34). The measurement parameters used to determine alignment or fit varied greatly among the included studies.
CONCLUSIONS: This review demonstrated that most measures of socket fit rely on a patient\'s self-report and may vary with biopsychosocial factors unrelated to the socket fitting process. Meanwhile, alignment is determined mostly by the prosthetist\'s judgment, paired with objective measurements, such as alignment jigs and gait analysis. Efforts to standardize and validate measures of these parameters of prosthetic fitting are vital to improving clinical practice and reporting outcomes.
OBJECTIVE: The objectives of this scoping review are to evaluate existing measurement parameters and clinical outcomes used in investigations of transtibial socket fit or prosthetic alignment and to identify gaps in the literature regarding tools for evaluation of prosthetic fitting.
METHODS: Scoping literature review.
METHODS: A comprehensive search was conducted in the following databases: MEDLINE (through PubMed), Embase (through Elsevier), Scopus (through Elsevier), and Engineering Village (through Elsevier), resulting in 6107 studies to be screened.
RESULTS: Sixty-three studies were included in the review. When measuring fit, studies most frequently reported on patient-reported comfort (n = 22) and socket size compared with the residual limb volume (n = 9). Alignment was most frequently measured by the prosthetists\' judgment and/or use of an alignment jig (n = 34). The measurement parameters used to determine alignment or fit varied greatly among the included studies.
CONCLUSIONS: This review demonstrated that most measures of socket fit rely on a patient\'s self-report and may vary with biopsychosocial factors unrelated to the socket fitting process. Meanwhile, alignment is determined mostly by the prosthetist\'s judgment, paired with objective measurements, such as alignment jigs and gait analysis. Efforts to standardize and validate measures of these parameters of prosthetic fitting are vital to improving clinical practice and reporting outcomes.
摘要：
背景：适合和对齐是下肢截肢患者假体渲染过程的可观察目标。然而，缺乏有效的措施来直接评估该临床程序的质量.
目的：本范围综述的目的是评估现有的测量参数和临床结果，用于研究经胫骨承窝配合或假体对齐，并确定文献中有关假体配合评估工具的空白。
方法：范围界定文献综述。
方法：在以下数据库中进行了全面搜索：MEDLINE（通过PubMed），Embase（通过Elsevier），Scopus（通过Elsevier），和工程村（通过Elsevier），筛选了6107项研究。
结果：该综述包括63项研究。测量配合时，最常报告的研究是患者报告的舒适度(n=22)和窝大小与残肢体积(n=9)的比较。最常见的是通过假肢医生的判断和/或使用对准夹具来测量对准（n=34）。在所包括的研究中，用于确定对准或拟合的测量参数差异很大。
结论：本综述表明，大多数套接性措施依赖于患者的自我报告，并且可能因与套接过程无关的生物心理社会因素而异。同时,排列主要由假肢师的判断决定，与客观测量配对，如对齐夹具和步态分析。标准化和验证这些假体配件参数的措施对于改善临床实践和报告结果至关重要。
目的：本范围综述的目的是评估现有的测量参数和临床结果，用于研究经胫骨承窝配合或假体对齐，并确定文献中有关假体配合评估工具的空白。
方法：范围界定文献综述。
方法：在以下数据库中进行了全面搜索：MEDLINE（通过PubMed），Embase（通过Elsevier），Scopus（通过Elsevier），和工程村（通过Elsevier），筛选了6107项研究。
结果：该综述包括63项研究。测量配合时，最常报告的研究是患者报告的舒适度(n=22)和窝大小与残肢体积(n=9)的比较。最常见的是通过假肢医生的判断和/或使用对准夹具来测量对准（n=34）。在所包括的研究中，用于确定对准或拟合的测量参数差异很大。
结论：本综述表明，大多数套接性措施依赖于患者的自我报告，并且可能因与套接过程无关的生物心理社会因素而异。同时,排列主要由假肢师的判断决定，与客观测量配对，如对齐夹具和步态分析。标准化和验证这些假体配件参数的措施对于改善临床实践和报告结果至关重要。
