{
  "abstract": "Combat-related limb injuries involving damage to the peripheral nervous system are among the most complex medical and social consequences of modern warfare, as they are accompanied by long-term impairments of motor, sensory, and autonomic functions, as well as limitations in mobility, self-care, occupational functioning, and social participation. For their clinical and expert assessment, a description of structural damage alone is insufficient, since the level of functioning is also determined by the nature of the functional deficit, the ability to perform daily activities, and the individual’s participation in everyday situations. The aim of this study was to analyze current approaches to the clinical and expert assessment of the functioning of military personnel with the sequelae of combat-related limb injuries and peripheral nervous system damage from the perspective of the biopsychosocial model and the International Classification of Functioning, Disability and Health (ICF), as well as to determine the feasibility of applying standardized functional assessment tools within the current system for evaluating daily functioning in Ukraine.A narrative review of 40 sources was conducted: 35 scientific publications, two documents from the WHO, and three Ukrainian regulatory acts. PubMed, Scopus, and Web of Science were used for the thematic search. Search terms: combat limb injury; peripheral nerve injury; functioning; disability; rehabilitation; International classification of functioning, disability, and health. The review included publications from 2020 to 2026, foundational sources on classification and scales were included regardless of publication year.No primary clinical data were collected.A review of the literature showed that, in cases of combat-related limb injuries involving peripheral nerve damage, not only structural damage but also motor, sensory, and pain deficits are clinically significant, as they can limit mobility, self-care, and occupational functioning. The ICF provides a structured description of these manifestations in terms of the body’s functional and structural components, activity, and participation, taking environmental factors into account. Meanwhile, standardized instruments have different focuses: the Barthel Index primarily characterizes independence in basic activities of daily living, the Rivermead Mobility Index assesses mobility, and the WHODAS 2.0 evaluates a broader spectrum of limitations in functioning and participation. An analysis of Ukraine’s regulatory framework revealed a conceptual shift toward the assessment of daily functioning, consistent with the principles of the biopsychosocial approach.The consequences of combat-related limb injuries involving damage to the peripheral nervous system are accompanied by motor, sensory and pain-related impairments, which lead to limitations in the activity and participation of service personnel. The application of a biopsychosocial approach and the ICF enables these impairments to be systematically categorised and their impact on daily functioning to be assessed. The use of standardised tools, in particular the WHODAS 2.0, the Barthel Index and the Rivermead Mobility Index, facilitates the quantitative characterisation of functional limitations in conjunction with a clinical assessment of the severity of peripheral nervous system damage.",
  "abstract_shown": true,
  "affiliations": [
    "Dnipro State Medical University, Volodymyra Vernadskoho str., 9, Dnipro, 49044"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "L.Yu. Naumenko",
      "orcid": "0000-0002-1625-8263"
    },
    {
      "affs": [
        0
      ],
      "name": "G.V. Rusina",
      "orcid": "0009-0004-6486-4040"
    },
    {
      "affs": [
        0
      ],
      "name": "T.M. Potapova",
      "orcid": "0000-0003-0184-3571"
    },
    {
      "affs": [
        0
      ],
      "name": "V.M. Berezovskyi",
      "orcid": "0000-0003-0495-8710"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/9f9x2jg4831b7.bib",
  "cited_by": 0,
  "doi": "10.26641/2307-0404.2026.3.376676",
  "fulltext_url": "https://journals.uran.ua/index.php/2307-0404/article/view/376676",
  "id": "9f9x2jg4831b7",
  "issns": [
    "2307-0404",
    "2786-4804"
  ],
  "landing_url": "https://doi.org/10.26641/2307-0404.2026.3.376676",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "R"
    ],
    [
      "openalex",
      "3612|Medical Practices and Rehabilitation"
    ]
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  "openalex": "W7223567660",
  "pdf_url": "https://journals.uran.ua/index.php/2307-0404/article/download/376676/359761",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-01",
  "publisher": "Dnipro State Medical University",
  "ris": "https://research.draconitic.com/paper/9f9x2jg4831b7.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:44:10Z",
      "native_id": "cb8f747be63a4809b1c8da36c4b46fad",
      "source": "doaj",
      "url": "https://doi.org/10.26641/2307-0404.2026.3.376676"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:R",
      "subfield": "general"
    }
  ],
  "title": "Clinical and expert aspects of assessing the daily functioning of military personnel with sequelae of combat-related injuries to the limbs and the peripheral nervous system: the biopsychosocial model, the ICF and modern approaches to expert assessment",
  "title_text": "Clinical and expert aspects of assessing the daily functioning of military personnel with sequelae of combat-related injuries to the limbs and the peripheral nervous system: the biopsychosocial model, the ICF and modern approaches to expert assessment",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:44:10Z",
  "url": "https://research.draconitic.com/paper/9f9x2jg4831b7",
  "venue": "Medičnì Perspektivi",
  "versions": []
}