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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">rojournal</journal-id><journal-title-group><journal-title xml:lang="ru">Российский остеопатический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Osteopathic Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2220-0975</issn><issn pub-type="epub">2949-3064</issn><publisher><publisher-name>All-Russian Public Organization «Russian Osteopathic Association» (ROsA)</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.32885/2220-0975-2026-2-184-203</article-id><article-id custom-type="elpub" pub-id-type="custom">rojournal-807</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LECTURES</subject></subj-group></article-categories><title-group><article-title>Причины нарушений постурального баланса и возможности их исследования</article-title><trans-title-group xml:lang="en"><trans-title>Causes of postural balance disorders and the possibilities of their study</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8674-5633</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Потехина</surname><given-names>Ю. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Potekhina</surname><given-names>Yu. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юлия Павловна Потехина, докт. мед. наук, профессор, Приволжский исследовательский медицинский университет (Нижний Новгород), профессор кафедры нормальной физиологии им. Н. Ю. Беленкова; Институт остеопатии (Санкт-Петербург), заместитель директора по научно-методической работе; Северо-Западный государственный медицинский университет им. И. И. Мечникова, кафедра остеопатии с курсом функциональной и интегративной медицины, профессор </p><p>Scopus Author ID: 55318321700 </p><p>603000, Нижний Новгород, пл. Минина и Пожарского, д. 10/1 </p><p>191024, Санкт-Петербург, ул. Дегтярная, д. 1, лит. А </p><p>191015, Санкт-Петербург, ул. Кирочная, д. 41 </p></bio><bio xml:lang="en"><p>Yulia P. Potekhina, Dr. Sci. (Med.), Professor, Privolzhskiy Research Medical University (Nizhniy Novgorod), Professor at the N. Yu. Belenkov Department of Normal Physiology; Institute of Osteopathy (Saint-Petersburg), Deputy Director for Scientifi c and Methodological Work; I. I. Mechnikov North-Western State Medical University, Department of Osteopathy with a Course of Functional and Integrative Medicine, Professor </p><p>Scopus Author ID: 55318321700 </p><p>bld. 10/1 pl. Minin and Pozharskiy, Nizhniy Novgorod, 603005 </p><p>bld. 1 lit. A ul. Degtyarnaya, Saint-Petersburg, 191024 </p><p>bld. 41 ul. Kirochnaya, Saint-Petersburg, 191015 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-9740-9557</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Полисмак</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Polismak</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Олег Валерьевич Полисмак, канд. мед. наук, Центр физической и реабилитационной медицины, врач-остеопат, врач физической и реабилитационной медицины</p><p>344011, Ростов-на-Дону, ул. Варфоломеева, д. 92А  </p></bio><bio xml:lang="en"><p>Oleg V. Polismak, Cand. Sci. (Med.), Center for Physical and Rehabilitation Medicine, osteopathic physician, physician of physical and rehabilitation medicine </p><p>bld. 92A ul. Varfolomeeva, Rostov-on-Don, 344011 </p></bio><email xlink:type="simple">opolismak@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Приволжский исследовательский медицинский университет; Институт остеопатии; Северо-Западный государственный медицинский университет им. И. И. Мечникова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Privolzhskiy Research Medical University; Institute of Osteopathy; I. I. Mechnikov North-Western State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Клиническая больница «РЖД-Медицина»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Clinical Hospital «RZhD-Medicine»</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>06</day><month>07</month><year>2026</year></pub-date><volume>0</volume><issue>2</issue><fpage>184</fpage><lpage>203</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Потехина Ю.П., Полисмак О.В., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Потехина Ю.П., Полисмак О.В.</copyright-holder><copyright-holder xml:lang="en">Potekhina Y.P., Polismak O.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://rojournal.elpub.ru/jour/article/view/807">https://rojournal.elpub.ru/jour/article/view/807</self-uri><abstract><p>Постуральные нарушения — это расстройства равновесия, возникающие вследствие дисфункций и заболеваний сенсорных систем, центральной нервной системы и опорно-двигательного аппарата. Они распространены во всех возрастных группах и часто приводят к хронической боли, дискомфорту, а также повышенному риску падений и травм. Цель лекции — по данным современной литературы систематизировать причины постуральных нарушений и методы исследования показателей равновесия и риска падений. Представлен обзор современного состояния знаний о причинах нарушения постурального баланса и возможных компенсаторных реакциях организма. Систематизированы многочисленные применяемые методы обследования пациентов с постуральными нарушениями с указанием минимальной клинически значимой разницы. </p></abstract><trans-abstract xml:lang="en"><p>Postural disorders are balance disturbances that arise from dysfunctions and diseases of the sensory systems, central nervous system, and musculoskeletal system. They are common in all age groups and often lead to chronic pain, discomfort, and an increased risk of falls and injuries. The purpose of this lecture is to systematize the causes of postural disorders and methods for studying balance indicators and fall risk, based on current literature. This lecture presents an overview of the current state of knowledge regarding the causes of postural imbalance and the body′s possible compensatory responses. Numerous methods used to examine patients with postural disorders are systematized, indicating the minimum clinically significant difference. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>постуральный баланс</kwd><kwd>постуральные тесты</kwd><kwd>постуральные нарушения</kwd><kwd>постуральный контроль</kwd><kwd>минимальная клинически значимая разница</kwd></kwd-group><kwd-group xml:lang="en"><kwd>postural balance</kwd><kwd>postural tests</kwd><kwd>postural disorders</kwd><kwd>postural control</kwd><kwd>minimal clinically important difference</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Чернова П. С., Гвоздикова А. А. Заболевания опорно-двигательного аппарата и методы их лечения. 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