Comparisons of (cost-)effectiveness of manual, hybrid, and digital shape capture and shape design techniques for transtibial and transfemoral prosthetic sockets: A scoping review.

Neuromuscular diseases (NMDs) represent a heterogeneous group of inherited or acquired disorders affecting at least one element of the motor unit, leading to progressive loss of strength, mobility, and autonomy. Management of NMDs is inherently multidisciplinary and typically involves both a medical team, responsible for diagnosis, disease monitoring, and treatment of systemic complications, and a rehabilitation team, usually coordinated by a physical and rehabilitation medicine physician (physiatrist), and including physiotherapists, occupational therapists, speech therapists, psychologists, and other allied health professionals, focused on functional abilities, participation, and quality of life. Clinical care has traditionally prioritized motor and cardiorespiratory complications, and sexual health, an integral aspect of physical, psychological, and social well-being, has received limited attention in both neuromuscular research and routine clinical practice. When disrupted, sexual function contributes to psychological distress, relationship difficulties, and reduced quality of life. In individuals with chronic neurological or NMDs, sexual dysfunction (SD) may result from a complex interaction of physical limitations, altered genital innervation, fatigue, mood disorders, and hormonal imbalances. Despite these vulnerabilities, sexual health remains insufficiently addressed in neuromuscular settings or in clinical guidelines. Given the paucity of the literature and the methodological heterogeneity, it was decided to perform a scoping review to map the extent, range, and nature of existing evidence and to identify any knowledge gaps. Such an approach is particularly suited for under-researched areas and exploratory questions.