rehabРеабилитологияJournal of Medical Rehabilitation2949-58732949-5881IRBIS LLC10.17749/2949-5873/rehabil.2025.42rehab-68Research ArticleОБЗОРНЫЕ СТАТЬИREVIEW ARTICLESКлиматотерапия и ландшафтотерапия как важнейшие методы реабилитации пациентовClimatotherapy and landscape therapy as the most important rehabilitation methods for patientshttps://orcid.org/0000-0002-5797-1874СидоринаН. Г.SidorinaN. G.

Сидорина Наталья Геннадьевна

ул. Розы Люксембург, д. 1, Томск 634009

Natalia G. Sidorina

1 Roza Luxemburg Str., Tomsk 634009

https://orcid.org/0009-0000-5331-7894ГаджиеваА. Б.HajiyevaA. B.

Гаджиева Айгюн Бахтияр кызы

пр-т Гусейна Джавида, д. 139, Баку AZ1143

Aygun B. Hajiyeva

139 Huseyn Cavid Ave, Baku AZ1143

gadzhievaa.2002@mail.ruhttps://orcid.org/0000-0002-4509-9281ВоробьевА. В.VorobevA. V.

Воробьев Александр Викторович, к.м.н., доцент

WoS ResearcherID: F-8804-2017

Scopus Author ID: 57191966265

ул. Трубецкая, д. 8/2, Москва 119048

Alexander V. Vorobev, PhD, Assoc. Prof.

WoS ResearcherID: F-8804-2017

Scopus Author ID: 57191966265

8/2 Trubetskaya Str., Moscow 119048

Томский научно-исследовательский институт курортологии и физиотерапии – филиал федерального государственного бюджетного учреждения «Федеральный научно-клинический центр медицинской реабилитации и курортологии Федерального медико-биологического агентства»РоссияTomsk Research Institute of Balneology and Physiotherapy – Branch of Federal Scientific and Clinical Center for Medical Rehabilitation and Balneology of the Federal Medical and Biological AgencyRussian FederationБакинский филиал Федерального государственного автономного образовательного учреждения высшего образования «Первый Московский государственный медицинский университет им. И.М. Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский Университет)АзербайджанBaku Branch of Sechenov UniversityAzerbaijanФедеральное государственное автономное образовательное учреждение высшего образования «Первый Московский государственный медицинский университет им. И.М. Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский Университет)РоссияSechenov UniversityRussian Federation202524062025316575Copyright © Сидорина Н.Г., Гаджиева А.Б., Воробьев А.В., 20252025Сидорина Н.Г., Гаджиева А.Б., Воробьев А.В.Sidorina N.G., Hajiyeva A.B., Vorobev A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rehabilitology.com/jour/article/view/68

Ландшафтотерапия и климатотерапия являются одними из консервативных методов восстановления утраченного здоровья. Нерешенные проблемы в данной области в последнее время пытаются решить путем внедрения новых высокоэффективных методов реабилитации. Однако у данного подхода есть ограничения, что заставляет обратить внимание на консервативные методы для переоценки их значимости с акцентом на доказательную базу. В обзоре приведена информация о механизмах, с помощью которых реализуются лечебные эффекты ландшафтотерапии и климатотерапии, а также представлен ряд рандомизированных контролируемых исследований (РКИ), подтверждающих эффективность данных методов реабилитации. Показана целесообразность дополнения существующих программ реабилитации курсом бальнеотерапии и обозначена необходимость проведения дополнительных РКИ, посвященных изучению эффективности ландшафтотерапии, аэротерапии, гелиотерапии, талассотерапии и спелеотерапии в реабилитации пациентов.

Landscape therapy and climatotherapy are two of the most conservative methods of restoring patients' lost health. Solutions to the existing problems in this area have recently been suggested by introducing new highly effective rehabilitation methods. However, this approach has limitations, which calls attention to conservative rehabilitation methods with a reassessment of their importance and a shift of the emphasis towards an evidence-based medicine. The review provides information on the action mechanisms of landscape therapy and climatotherapy and presents a number of randomized controlled trials (RCTs) confirming the effectiveness of these rehabilitation methods. The expediency of supplementing the existing rehabilitation programs with a balneotherapy course is shown and the need for additional RCTs to study the effectiveness of landscape therapy, aerotherapy, heliotherapy, thalassotherapy, and speleotherapy in the rehabilitation of patients is given.

реабилитациявосстановительная медициналандшафтотерапияклиматотерапиябальнеотерапияаэротерапиягелиотерапияталассотерапияспелеотерапияrehabilitationregenerative medicinelandscape therapyclimatotherapybalneotherapyaerotherapyheliotherapythalassotherapyspeleotherapyReferencesКачество жизни – основной драйвер современного развития. Росконгресс. 2021. URL: https://roscongress.org/sessions/spief-2021-kachestvo-zhizni-osnovnoy-drayver-sovremennogo-razvitiya/discussion/ (дата обращения 23.11.2024).Quality of life: the main driver of modern development. Roscongress. 2021. Available at: https://roscongress.org/sessions/spief-2021-kachestvo-zhizni-osnovnoy-drayver-sovremennogo-razvitiya/discussion/ (in Russ.) (accessed 23.11.2024).Crimmins E.M. Lifespan and healthspan: past, present, and promise. Gerontologist. 2015; 55 (6): 901–11. https://doi.org/10.1093/geront/gnv130.Crimmins E.M. Lifespan and healthspan: past, present, and promise. Gerontologist. 2015; 55 (6): 901–11. https://doi.org/10.1093/geront/gnv130.Lee K.E., Choi M., Jeoung B. Effectiveness of rehabilitation exercise in improving physical function of stroke patients: a systematic review. Int J Environ Res Public Health. 2022; 19 (19): 12739. https://doi.org/10.3390/ijerph191912739.Lee K.E., Choi M., Jeoung B. Effectiveness of rehabilitation exercise in improving physical function of stroke patients: a systematic review. Int J Environ Res Public Health. 2022; 19 (19): 12739. https://doi.org/10.3390/ijerph191912739.Smith S.R., Zheng J.Y., Silver J., et al. Cancer rehabilitation as an essential component of quality care and survivorship from an international perspective. Disabil Rehabil. 2020; 42 (1): 8–13. https://doi.org/10.1080/09638288.2018.1514662.Smith S.R., Zheng J.Y., Silver J., et al. Cancer rehabilitation as an essential component of quality care and survivorship from an international perspective. Disabil Rehabil. 2020; 42 (1): 8–13. https://doi.org/10.1080/09638288.2018.1514662.Sakai T., Hoshino C., Hirao M., et al. Rehabilitation of patients with post-COVID-19 syndrome: a narrative review. Prog Rehabil Med. 2023; 8: 20230017. https://doi.org/10.2490/prm.20230017.Sakai T., Hoshino C., Hirao M., et al. Rehabilitation of patients with post-COVID-19 syndrome: a narrative review. Prog Rehabil Med. 2023; 8: 20230017. https://doi.org/10.2490/prm.20230017.McMahon S.R., Ades P.A., Thompson P.D. The role of cardiac rehabilitation in patients with heart disease. Trends Cardiovasc Med. 2017; 27 (6): 420–5. https://doi.org/10.1016/j.tcm.2017.02.005.McMahon S.R., Ades P.A., Thompson P.D. The role of cardiac rehabilitation in patients with heart disease. Trends Cardiovasc Med. 2017; 27 (6): 420–5. https://doi.org/10.1016/j.tcm.2017.02.005.Арманд Д.Л. Нам и внукам. 2-е изд. М.: Мысль; 1966: 254 с.Armand D.L. For us and grandchildren. 2nd ed. Мoscow: Mysl’; 1966: 254 pp. (in Russ.).Gesler W.M. Therapeutic landscapes: medical issues in light of the new cultural geography. Soc Sci Med. 1992; 34 (7): 735–46. https://doi.org/10.1016/0277-9536(92)90360-3.Gesler W.M. Therapeutic landscapes: medical issues in light of the new cultural geography. Soc Sci Med. 1992; 34 (7): 735–46. https://doi.org/10.1016/0277-9536(92)90360-3.Саяпова А.М. «Истинное созерцание природы» как синергетический тип мышления В. Гете. Филология и культура. 2012; 1: 125–9.Sayapova A.M. “Veritable contemplation of nature” as the synergetic type of thinking of Goethe. Philology and Culture. 2012; 1: 125–9 (in Russ.).Голубчиков Ю.Н. К теории ландшафтотерапии. Географическая среда и живые системы. 2023; 1: 101–15. https://doi.org/10.18384/2712-7621-2023-1-101-115.Golubchikov Yu.N. Towards a landscape therapy theory. Geographical Environment and Living Systems. 2023; 1: 101–15 (in Russ.). https://doi.org/10.18384/2712-7621-2023-1-101-115.Барашков Г.Н., Сергеев В.Н., Карамнова Н.С. Терренкуры и физическая тренировка ходьбой: реабилитационно-профилактические аспекты. Профилактическая медицина. 2021; 24 (5): 87–93. https://doi.org/10.17116/profmed20212405187.Barashkov G.N., Sergeev V.N., Karamnova N.S. Terrencures and physical training by walking: rehabilitation – preventive aspects. Russian Journal of Preventive Medicine. 2021; 24 (5): 87–93 (in Russ.). https://doi.org/10.17116/profmed20212405187.Bell S.L., Hickman C., Houghton F. From therapeutic landscape to therapeutic “sensescape” experiences with nature? A scoping review. Wellbeing Space Soc. 2023; 4: 100126. https://doi.org/10.1016/j.wss.2022.100126.Bell S.L., Hickman C., Houghton F. From therapeutic landscape to therapeutic “sensescape” experiences with nature? A scoping review. Wellbeing Space Soc. 2023; 4: 100126. https://doi.org/10.1016/j.wss.2022.100126.Lengen C. The effects of colours, shapes and boundaries of landscapes on perception, emotion and mentalising processes promoting health and well-being. Health Place. 2015; 35: 166–77. https://doi.org/10.1016/j.healthplace.2015.05.016.Lengen C. The effects of colours, shapes and boundaries of landscapes on perception, emotion and mentalising processes promoting health and well-being. Health Place. 2015; 35: 166–77. https://doi.org/10.1016/j.healthplace.2015.05.016.Thomas F. The role of natural environments within women’s everyday health and wellbeing in Copenhagen, Denmark. Health Place. 2015; 35: 187–95. https://doi.org/10.1016/j.healthplace.2014.11.005.Thomas F. The role of natural environments within women’s everyday health and wellbeing in Copenhagen, Denmark. Health Place. 2015; 35: 187–95. https://doi.org/10.1016/j.healthplace.2014.11.005.Severin M.I., Raes F., Notebaert E., et al. A qualitative study on emotions experienced at the coast and their influence on well-being. Front Psychol. 2022; 13: 902122. https://doi.org/10.3389/fpsyg.2022.902122.Severin M.I., Raes F., Notebaert E., et al. A qualitative study on emotions experienced at the coast and their influence on well-being. Front Psychol. 2022; 13: 902122. https://doi.org/10.3389/fpsyg.2022.902122.Völker S., Kistemann T. “I’m always entirely happy when I’m here!” Urban blue enhancing human health and well-being in Cologne and Düsseldorf, Germany. Soc Sci Med. 2013; 78: 113–24. https://doi.org/10.1016/j.socscimed.2012.09.047.Völker S., Kistemann T. “I’m always entirely happy when I’m here!” Urban blue enhancing human health and well-being in Cologne and Düsseldorf, Germany. Soc Sci Med. 2013; 78: 113–24. https://doi.org/10.1016/j.socscimed.2012.09.047.Bell S.L., Phoenix C., Lovell R., Wheeler B.W. Seeking everyday wellbeing: The coast as a therapeutic landscape. Soc Sci Med. 2015; 142: 56–67. https://doi.org/10.1016/j.socscimed.2015.08.011.Bell S.L., Phoenix C., Lovell R., Wheeler B.W. Seeking everyday wellbeing: The coast as a therapeutic landscape. Soc Sci Med. 2015; 142: 56–67. https://doi.org/10.1016/j.socscimed.2015.08.011.Coleman T., Kearns R. The role of bluespaces in experiencing place, aging and wellbeing: Insights from Waiheke Island, New Zealand. Health Place. 2015; 35: 206–17. https://doi.org/10.1016/j.healthplace.2014.09.016.Coleman T., Kearns R. The role of bluespaces in experiencing place, aging and wellbeing: Insights from Waiheke Island, New Zealand. Health Place. 2015; 35: 206–17. https://doi.org/10.1016/j.healthplace.2014.09.016.Handlovsky I., Ferlatte O., Kia H., et al. Processes underpinning survival in gay men living with HIV and a history of suicidality. Sociol Health Illn. 2022; 44 (7): 1132–48. https://doi.org/10.1111/1467-9566.13500.Handlovsky I., Ferlatte O., Kia H., et al. Processes underpinning survival in gay men living with HIV and a history of suicidality. Sociol Health Illn. 2022; 44 (7): 1132–48. https://doi.org/10.1111/1467-9566.13500.Cheesbrough A.E., Garvin T., Nykiforuk C.I.J. Everyday wild: urban natural areas, health, and well-being. Health Place. 2019; 56: 43–52. https://doi.org/10.1016/j.healthplace.2019.01.005.Cheesbrough A.E., Garvin T., Nykiforuk C.I.J. Everyday wild: urban natural areas, health, and well-being. Health Place. 2019; 56: 43–52. https://doi.org/10.1016/j.healthplace.2019.01.005.Muenchberger H., Ehrlich C., Kendall E., Vit M. Experience of place for young adults under 65 years with complex disabilities moving into purpose-built residential care. Soc Sci Med. 2012; 75 (12):2151–9. https://doi.org/10.1016/j.socscimed.2012.08.002.Muenchberger H., Ehrlich C., Kendall E., Vit M. Experience of place for young adults under 65 years with complex disabilities moving into purpose-built residential care. Soc Sci Med. 2012; 75 (12):2151–9. https://doi.org/10.1016/j.socscimed.2012.08.002.Duff C. Exploring the role of “enabling places” in promoting recovery from mental illness: a qualitative test of a relational model. Health Place. 2012; 18 (6): 1388–95. https://doi.org/10.1016/j.healthplace.2012.07.003.Duff C. Exploring the role of “enabling places” in promoting recovery from mental illness: a qualitative test of a relational model. Health Place. 2012; 18 (6): 1388–95. https://doi.org/10.1016/j.healthplace.2012.07.003.Pitt H. Muddying the waters: what urban waterways reveal about bluespaces and wellbeing. Geoforum. 2018; 92: 161–70. https://doi.org/10.1016/j.geoforum.2018.04.014.Pitt H. Muddying the waters: what urban waterways reveal about bluespaces and wellbeing. Geoforum. 2018; 92: 161–70. https://doi.org/10.1016/j.geoforum.2018.04.014.Milligan C., Bingley A. Restorative places or scary spaces? The impact of woodland on the mental well-being of young adults. Health Place. 2007; 13 (4): 799–811. https://doi.org/10.1016/j.healthplace.2007.01.005.Milligan C., Bingley A. Restorative places or scary spaces? The impact of woodland on the mental well-being of young adults. Health Place. 2007; 13 (4): 799–811. https://doi.org/10.1016/j.healthplace.2007.01.005.Finlay J., Franke T., McKay H., Sims-Gould J. Therapeutic landscapes and wellbeing in later life: impacts of blue and green spaces for older adults. Health Place. 2015; 34: 97–106. https://doi.org/10.1016/j.healthplace.2015.05.001.Finlay J., Franke T., McKay H., Sims-Gould J. Therapeutic landscapes and wellbeing in later life: impacts of blue and green spaces for older adults. Health Place. 2015; 34: 97–106. https://doi.org/10.1016/j.healthplace.2015.05.001.Gorman R. Thinking critically about health and human-animal relations: therapeutic affect within spaces of care farming. Soc Sci Med. 2019; 231: 6–12. https://doi.org/10.1016/j.socscimed.2017.11.047.Gorman R. Thinking critically about health and human-animal relations: therapeutic affect within spaces of care farming. Soc Sci Med. 2019; 231: 6–12. https://doi.org/10.1016/j.socscimed.2017.11.047.Britton E., Foley R. Sensing water: uncovering health and well-being in the sea and surf. J Sport Social Iss. 2021; 45 (1): 60–87. https://doi.org/10.1177/0193723520928597.Britton E., Foley R. Sensing water: uncovering health and well-being in the sea and surf. J Sport Social Iss. 2021; 45 (1): 60–87. https://doi.org/10.1177/0193723520928597.Mokos J.T. Stigmatized places as therapeutic landscapes: the beneficial dimensions of river-bottom homeless encampments. Med Anthropol Theory. 2017; 4 (1). https://doi.org/10.17157/mat.4.1.362.Mokos J.T. Stigmatized places as therapeutic landscapes: the beneficial dimensions of river-bottom homeless encampments. Med Anthropol Theory. 2017; 4 (1). https://doi.org/10.17157/mat.4.1.362.Milligan C., Gatrell A., Bingley A. “Cultivating health”: therapeutic landscapes and older people in northern England. Soc Sci Med. 2004; 58 (9): 1781–93. https://doi.org/10.1016/S0277-9536(03)00397-6.Milligan C., Gatrell A., Bingley A. “Cultivating health”: therapeutic landscapes and older people in northern England. Soc Sci Med. 2004; 58 (9): 1781–93. https://doi.org/10.1016/S0277-9536(03)00397-6.Grant G., Pollard N. Health group walks: making sense of associations with the natural landscape. Leisure Studies. 2022; 41 (1): 85–99. https://doi.org/10.1080/02614367.2021.1971284.Grant G., Pollard N. Health group walks: making sense of associations with the natural landscape. Leisure Studies. 2022; 41 (1): 85–99. https://doi.org/10.1080/02614367.2021.1971284.Bates V. Sensing space and making place: the hospital and therapeutic landscapes in two cancer narratives. Med Humanit. 2019; 45 (1): 10–20. https://doi.org/10.1136/medhum-2017-011347.Bates V. Sensing space and making place: the hospital and therapeutic landscapes in two cancer narratives. Med Humanit. 2019; 45 (1): 10–20. https://doi.org/10.1136/medhum-2017-011347.Jewkes Y., Moran D., Turner J. Just add water: prisons, therapeutic landscapes and healthy blue space. Criminol Criminal Justice. 2019; 20 (4): 381–98. https://doi.org/10.1177/1748895819828800.Jewkes Y., Moran D., Turner J. Just add water: prisons, therapeutic landscapes and healthy blue space. Criminol Criminal Justice. 2019; 20 (4): 381–98. https://doi.org/10.1177/1748895819828800.Vaeztavakoli A., Lak A., Yigitcanlar T. Blue and green spaces as therapeutic landscapes: health effects of urban water canal areas of Isfahan. Sustainability. 2018; 10 (11): 4010. https://doi.org/10.3390/su10114010.Vaeztavakoli A., Lak A., Yigitcanlar T. Blue and green spaces as therapeutic landscapes: health effects of urban water canal areas of Isfahan. Sustainability. 2018; 10 (11): 4010. https://doi.org/10.3390/su10114010.Gorman R. Smelling therapeutic landscapes: embodied encounters within spaces of care farming. Health Place. 2017; 47: 22–8. https://doi.org/10.1016/j.healthplace.2017.06.005.Gorman R. Smelling therapeutic landscapes: embodied encounters within spaces of care farming. Health Place. 2017; 47: 22–8. https://doi.org/10.1016/j.healthplace.2017.06.005.Ireland A.V., Finnegan-John J., Hubbard G., et al. Walking groups for women with breast cancer: mobilising therapeutic assemblages of walk, talk and place. Soc Sci Med. 2019; 231: 38–46. https://doi.org/10.1016/j.socscimed.2018.03.016.Ireland A.V., Finnegan-John J., Hubbard G., et al. Walking groups for women with breast cancer: mobilising therapeutic assemblages of walk, talk and place. Soc Sci Med. 2019; 231: 38–46. https://doi.org/10.1016/j.socscimed.2018.03.016.Macpherson H. Walkers with visual-impairments in the British countryside: picturesque legacies, collective enjoyments and well-being benefits. J Rural Studies. 2017; 51: 251–8. https://doi.org/10.1016/j.jrurstud.2016.10.001.Macpherson H. Walkers with visual-impairments in the British countryside: picturesque legacies, collective enjoyments and well-being benefits. J Rural Studies. 2017; 51: 251–8. https://doi.org/10.1016/j.jrurstud.2016.10.001.Paterson M. Haptic geographies: ethnography, haptic knowledges and sensuous dispositions. Progress Human Geography. 2009; 33 (6): 766–88. https://doi.org/10.1177/0309132509103155.Paterson M. Haptic geographies: ethnography, haptic knowledges and sensuous dispositions. Progress Human Geography. 2009; 33 (6): 766–88. https://doi.org/10.1177/0309132509103155.Jackson J. Growing the community – a case study of community gardens in Lincoln’s Abbey Ward. Renewable Agriculture Food System. 2018; 33 (6): 530–41. https://doi.org/10.1017/S1742170517000643.Jackson J. Growing the community – a case study of community gardens in Lincoln’s Abbey Ward. Renewable Agriculture Food System. 2018; 33 (6): 530–41. https://doi.org/10.1017/S1742170517000643.Abramovic J., Turner B., Hope C. Entangled recovery: refugee encounters in community gardens. Local Environ. 2019; 24 (8): 696–11. https://doi.org/10.1080/13549839.2019.1637832.Abramovic J., Turner B., Hope C. Entangled recovery: refugee encounters in community gardens. Local Environ. 2019; 24 (8): 696–11. https://doi.org/10.1080/13549839.2019.1637832.Cacciatore J., Gorman R., Thieleman K. Evaluating care farming as a means to care for those in trauma and grief. Health Place. 2020; 62: 102281. https://doi.org/10.1016/j.healthplace.2019.102281.Cacciatore J., Gorman R., Thieleman K. Evaluating care farming as a means to care for those in trauma and grief. Health Place. 2020; 62: 102281. https://doi.org/10.1016/j.healthplace.2019.102281.Windhorst E., Williams A. “It’s like a different world”: natural places, post-secondary students, and mental health. Health Place. 2015; 34: 241–50. https://doi.org/10.1016/j.healthplace.2015.06.002.Windhorst E., Williams A. “It’s like a different world”: natural places, post-secondary students, and mental health. Health Place. 2015; 34: 241–50. https://doi.org/10.1016/j.healthplace.2015.06.002.Doughty K., Hu H., Smit J. Therapeutic landscapes during the COVID-19 pandemic: increased and intensified interactions with nature. Soc Cultural Geography. 2023; 24 (3–4): 661–79. https://doi.org/10.1080/14649365.2022.2052168.Doughty K., Hu H., Smit J. Therapeutic landscapes during the COVID-19 pandemic: increased and intensified interactions with nature. Soc Cultural Geography. 2023; 24 (3–4): 661–79. https://doi.org/10.1080/14649365.2022.2052168.Straughan E. Touched by water: the body in scuba diving. Emotion Space Soc. 2012; 5 (1): 19–26. https://doi.org/10.1016/j.emospa.2010.10.003.Straughan E. Touched by water: the body in scuba diving. Emotion Space Soc. 2012; 5 (1): 19–26. https://doi.org/10.1016/j.emospa.2010.10.003.Harris A. Lourdes and holistic spirituality: contemporary Catholicism, the therapeutic and religious thermalism. Culture and Religion. 2013; 14 (1): 23–43. https://doi.org/10.1080/14755610.2012.756411.Harris A. Lourdes and holistic spirituality: contemporary Catholicism, the therapeutic and religious thermalism. Culture and Religion. 2013; 14 (1): 23–43. https://doi.org/10.1080/14755610.2012.756411.Doughty K. Walking together: the embodied and mobile production of a therapeutic landscape. Health Place. 2013; 24: 140–6. https://doi.org/10.1016/j.healthplace.2013.08.009.Doughty K. Walking together: the embodied and mobile production of a therapeutic landscape. Health Place. 2013; 24: 140–6. https://doi.org/10.1016/j.healthplace.2013.08.009.Solyeyko O.V., Tsarenko S.O., Maznichenko O.V., et al. Landscape therapy: rehabilitation potential in patients with post-infarction cardiosclerosis. Wiad Lek. 2024; 77 (4): 696–702. https://doi.org/10.36740/WLek202404113.Solyeyko O.V., Tsarenko S.O., Maznichenko O.V., et al. Landscape therapy: rehabilitation potential in patients with post-infarction cardiosclerosis. Wiad Lek. 2024; 77 (4): 696–702. https://doi.org/10.36740/WLek202404113.Chun M.H., Chang M.C., Lee S.J. The effects of forest therapy on depression and anxiety in patients with chronic stroke. Int J Neurosci. 2017; 127 (3): 199–203. https://doi.org/10.3109/00207454.2016.1170015.Chun M.H., Chang M.C., Lee S.J. The effects of forest therapy on depression and anxiety in patients with chronic stroke. Int J Neurosci. 2017; 127 (3): 199–203. https://doi.org/10.3109/00207454.2016.1170015.Широкова В.А., Собисевич А.В., Савенкова В.М. Исследование А.И. Воейковым климатолечебных мест Кавказа. Вестник Академии наук Чеченской Республики. 2018; 3: 111–6. https://doi.org/10.25744/vestnik.2018.40.3.018.Shirokova V.A., Sobisevich A.V., Savenkova V.M. A. Voyeykov researches of climate medical places of the Caucasus. Bulletin of the Academy of Sciences of Chechen Republic. 2018; 3: 111–6 (in Russ.). https://doi.org/10.25744/vestnik.2018.40.3.018.Салахова Р.Х. Климатологические труды А.И. Воейкова: их значение и актуальность. В кн.: Володина Ю.К., Бородина О.Е., Громова Т.А. и др. (ред.) Природа Симбирского Поволжья: сборник научных трудов XIV межрегиональной научно-практической конференции. Вып. 13. Ульяновск: Корпорация технологий продвижения; 2012: 10–5.Salakhova R.Kh. Climatological works of A.I. Voyeykov: their significance and relevance. In: Volodina Yu.K., Borodina O.E., Gromova T.A., et al. (Eds.) Nature of the Simbirsk Volga Region: collection of scientific papers of the XIV Interregional Scientific and Practical Conference. Issue 13. Ulyanovsk: Promotion Technologies Corporation; 2012: 10–5 (in Russ.).Воейков А.И. Исследования климатов для целей климатического лечения и гигиены: доклад на V секции Русского общества охранения народного здравия 12 марта 1898 г. СПб.: типография П.П. Сойкина; 1898: 19 с.Voyeykov A.I. Research of climates for the purposes of climatic treatment and hygiene: report at the V section of the Russian Society for Protection of Public Health, March 12, 1898. Saint Petersburg: P.P. Soikin Printing House; 1898: 19 pp. (in Russ.).Герасименко М.Ю., Астахов П.В., Бадалов Н.Г. и др. Климатотерапия в лечебно-реабилитационных и профилактических программах. Физиотерапия, бальнеология и реабилитация. 2017; 16 (3): 154–9.Gerasimenko M.Yu., Astakhov P.V., Badalov N.G., et al. Climatotherapy in treatment, rehabilitation and preventive programs. Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2017; 16 (3): 154–9 (in Russ.).Волотовская А.В. Лечебные физические факторы как основа спа-терапии. Медицинские новости. 2012; 12: 50–3.Volotovskaya A.V. Therapeutic physical factors as a basis of spa-therapy. Meditsinskie novosti. 2012; 12: 50–3 (in Russ.).Старшинова А.А., Павлова М.В., Яблонский П.К. и др. Эволюция фтизиатрии – это поиск новых методов и препаратов, эффективных при лечении туберкулеза. Практическая медицина. 2014; 7: 127–32.Starshinova A.A., Pavlova M.V., Yablonskiy P.K., et al. Evolution of phthisiatry – a search for new methods and drugs effective for the treatment of tuberculosis. Practical Medicine. 2014; 7: 127–32 (in Russ.).Ярош А.М., Савченко В.М., Бабич-Гордиенко И.В. Современное состояние изучения методов климатотерапии на курортах. Вестник физиотерапии и курортологии. 2015; 21 (1): 22–3.Yarosh A.M., Savchenko V.M., Babich-Gordienko I.V. The present state of the study of methods climatotherapy at resorts. Vestnik fisioterapii i kurortologii / Herald of Physiotherapy and Health Resort Therapy. 2015; 21 (1): 22–3 (in Russ.).Fioravanti A., Cantarini L., Guidelli G.M., Galeazzi M. Mechanisms of action of spa therapies in rheumatic diseases: what scientific evidence is there? Rheumatol Int. 2011; 31 (1): 1–8. https://doi.org/10.1007/s00296-010-1628-6.Fioravanti A., Cantarini L., Guidelli G.M., Galeazzi M. Mechanisms of action of spa therapies in rheumatic diseases: what scientific evidence is there? Rheumatol Int. 2011; 31 (1): 1–8. https://doi.org/10.1007/s00296-010-1628-6.O’Hare J.P., Heywood A., Summerhayes C., et al. Observations on the effect of immersion in Bath spa water. Br Med J (Clin Res Ed). 1985; 291 (6511): 1747–51. https://doi.org/10.1136/bmj.291.6511.1747.O’Hare J.P., Heywood A., Summerhayes C., et al. Observations on the effect of immersion in Bath spa water. Br Med J (Clin Res Ed). 1985; 291 (6511): 1747–51. https://doi.org/10.1136/bmj.291.6511.1747.Weston C.F., O’Hare J.P., Evans J.M., Corrall R.J. Haemodynamic changes in man during immersion in water at different temperatures. Clin Sci. 1987; 73 (6): 613–6. https://doi.org/10.1042/cs0730613.Weston C.F., O’Hare J.P., Evans J.M., Corrall R.J. Haemodynamic changes in man during immersion in water at different temperatures. Clin Sci. 1987; 73 (6): 613–6. https://doi.org/10.1042/cs0730613.Epstein M. Renal effects of head-out water immersion in humans: a 15-year update. Physiol Rev. 1992; 72 (3): 563–621. https://doi.org/10.1152/physrev.1992.72.3.563.Epstein M. Renal effects of head-out water immersion in humans: a 15-year update. Physiol Rev. 1992; 72 (3): 563–621. https://doi.org/10.1152/physrev.1992.72.3.563.Голубова Т.Ф., Нуволи А.В. Влияние йодобромных ванн на показатели стресс-систем у детей с расстройствами аутистического спектра. Вопросы курортологии, физиотерапии и лечебной физической культуры. 2022; 99 (1): 42–9. https://doi.org/10.17116/kurort20229901142.Golubova T.F., Nuvoli A.V. Effect of iodine-bromine baths on stress-systems indicators in children with autism spectrum disorders. Problems of Balneology, Physiotherapy and Exercise Therapy. 2022; 99 (1): 42–9 (in Russ.). https://doi.org/10.17116/kurort20229901142.Kuczera M., Kokot F. Effect of spa therapy on the endocrine system. I. Stress reaction hormones. Pol Arch Med Wewn. 1996; 95 (1): 11–20 (in Polish).Kuczera M., Kokot F. Effect of spa therapy on the endocrine system. I. Stress reaction hormones. Pol Arch Med Wewn. 1996; 95 (1): 11–20 (in Polish).Berczi I., Chalmers I.M., Nagy E., Warrington R.J. The immune effects of neuropeptides. Baillieres Clin Rheumatol. 1996; 10 (2): 227–57. https://doi.org/10.1016/s0950-3579(96)80016-1.Berczi I., Chalmers I.M., Nagy E., Warrington R.J. The immune effects of neuropeptides. Baillieres Clin Rheumatol. 1996; 10 (2): 227–57. https://doi.org/10.1016/s0950-3579(96)80016-1.Ghersetich I., Freedman D., Lotti T. Balneology today. J Eur Acad Dermatol Venereol. 2000; 14 (5): 346–8. https://doi.org/10.1046/j.1468-3083.2000.00136.x.Ghersetich I., Freedman D., Lotti T. Balneology today. J Eur Acad Dermatol Venereol. 2000; 14 (5): 346–8. https://doi.org/10.1046/j.1468-3083.2000.00136.x.Cozzi F., Lazzarin P., Todesco S., Cima L. Hypothalamic-pituitary-adrenal axis dysregulation in healthy subjects undergoing mud-bath applications. Arthritis Rheum. 1995; 38 (5): 724–6. https://doi.org/10.1002/art.1780380530.Cozzi F., Lazzarin P., Todesco S., Cima L. Hypothalamic-pituitary-adrenal axis dysregulation in healthy subjects undergoing mud-bath applications. Arthritis Rheum. 1995; 38 (5): 724–6. https://doi.org/10.1002/art.1780380530.Sukenik S., Flusser D., Abu-Shakra M. The role of spa therapy in various rheumatic diseases. Rheum Dis Clin North Am. 1999; 25 (4): 883–97. https://doi.org/10.1016/s0889-857x(05)70108-3.Sukenik S., Flusser D., Abu-Shakra M. The role of spa therapy in various rheumatic diseases. Rheum Dis Clin North Am. 1999; 25 (4): 883–97. https://doi.org/10.1016/s0889-857x(05)70108-3.Olszewski W.L., Grzelak I., Ziolkowska A., Engeset A. Effect of local hyperthermia on lymph immune cells and lymphokines of normal human skin. J Surg Oncol. 1989; 41 (2): 109–16. https://doi.org/10.1002/jso.2930410211.Olszewski W.L., Grzelak I., Ziolkowska A., Engeset A. Effect of local hyperthermia on lymph immune cells and lymphokines of normal human skin. J Surg Oncol. 1989; 41 (2): 109–16. https://doi.org/10.1002/jso.2930410211.Lange U., Müller-Ladner U., Schmidt K.L. Balneotherapy in rheumatic diseases – an overview of novel and known aspects. Rheumatol Int. 2006; 26 (6): 497–9. https://doi.org/10.1007/s00296-005-0019-x.Lange U., Müller-Ladner U., Schmidt K.L. Balneotherapy in rheumatic diseases – an overview of novel and known aspects. Rheumatol Int. 2006; 26 (6): 497–9. https://doi.org/10.1007/s00296-005-0019-x.Valitutti S., Castellino F., Musiani P. Effect of sulfurous (thermal) water on T lymphocyte proliferative response. Ann Allergy. 1990; 65 (6): 463–8.Valitutti S., Castellino F., Musiani P. Effect of sulfurous (thermal) water on T lymphocyte proliferative response. Ann Allergy. 1990; 65 (6): 463–8.Shani J., Barak S., Levi D., et al. Skin penetration of minerals in psoriatics and guinea-pigs bathing in hypertonic salt solutions. Pharmacol Res Commun. 1985; 17 (6): 501–12. https://doi.org/10.1016/0031-6989(85)90123-7.Shani J., Barak S., Levi D., et al. Skin penetration of minerals in psoriatics and guinea-pigs bathing in hypertonic salt solutions. Pharmacol Res Commun. 1985; 17 (6): 501–12. https://doi.org/10.1016/0031-6989(85)90123-7.Beer A.M., Junginger H.E., Lukanov J., Sagorchev P. Evaluation of the permeation of peat substances through human skin in vitro. Int J Pharm. 2003; 253 (1-2): 169–75. https://doi.org/10.1016/s0378-5173(02)00706-8.Beer A.M., Junginger H.E., Lukanov J., Sagorchev P. Evaluation of the permeation of peat substances through human skin in vitro. Int J Pharm. 2003; 253 (1-2): 169–75. https://doi.org/10.1016/s0378-5173(02)00706-8.Ardiç F., Ozgen M., Aybek H., et al. Effects of balneotherapy on serum IL-1, PGE2 and LTB4 levels in fibromyalgia patients. Rheumatol Int. 2007; 27 (5): 441–6. https://doi.org/10.1007/s00296-006-0237-x.Ardiç F., Ozgen M., Aybek H., et al. Effects of balneotherapy on serum IL-1, PGE2 and LTB4 levels in fibromyalgia patients. Rheumatol Int. 2007; 27 (5): 441–6. https://doi.org/10.1007/s00296-006-0237-x.Bellometti S., Galzigna L. Serum levels of a prostaglandin and a leukotriene after thermal mud pack therapy. J Investig Med. 1998; 46 (4): 140–5.Bellometti S., Galzigna L. Serum levels of a prostaglandin and a leukotriene after thermal mud pack therapy. J Investig Med. 1998; 46 (4): 140–5.Bellometti S., Richelmi P., Tassoni T., Bertè F. Production of matrix metalloproteinases and their inhibitors in osteoarthritic patients undergoing mud bath therapy. Int J Clin Pharmacol Res. 2005; 25 (2): 77–94.Bellometti S., Richelmi P., Tassoni T., Bertè F. Production of matrix metalloproteinases and their inhibitors in osteoarthritic patients undergoing mud bath therapy. Int J Clin Pharmacol Res. 2005; 25 (2): 77–94.Bellometti S., Cecchettin M., Galzigna L. Mud pack therapy in osteoarthrosis. Changes in serum levels of chondrocyte markers. Clin Chim Acta. 1997; 268 (1-2): 101–6. https://doi.org/10.1016/s0009-8981(97)00171-x.Bellometti S., Cecchettin M., Galzigna L. Mud pack therapy in osteoarthrosis. Changes in serum levels of chondrocyte markers. Clin Chim Acta. 1997; 268 (1-2): 101–6. https://doi.org/10.1016/s0009-8981(97)00171-x.Shehata M., Schwarzmeier J.D., Hilgarth M., et al. Effect of combined spa-exercise therapy on circulating TGF-beta1 levels in patients with ankylosing spondylitis. Wien Klin Wochenschr. 2006; 118 (9-10): 266–72. https://doi.org/10.1007/s00508-006-0560-y.Shehata M., Schwarzmeier J.D., Hilgarth M., et al. Effect of combined spa-exercise therapy on circulating TGF-beta1 levels in patients with ankylosing spondylitis. Wien Klin Wochenschr. 2006; 118 (9-10): 266–72. https://doi.org/10.1007/s00508-006-0560-y.Ekmekcioglu C., Strauss-Blasche G., Holzer F., Marktl W. Effect of sulfur baths on antioxidative defense systems, peroxide concentrations and lipid levels in patients with degenerative osteoarthritis. Forsch Komplementarmed Klass Naturheilkd. 2002; 9 (4): 216–20. https://doi.org/10.1159/000066031.Ekmekcioglu C., Strauss-Blasche G., Holzer F., Marktl W. Effect of sulfur baths on antioxidative defense systems, peroxide concentrations and lipid levels in patients with degenerative osteoarthritis. Forsch Komplementarmed Klass Naturheilkd. 2002; 9 (4): 216–20. https://doi.org/10.1159/000066031.Bender T., Bariska J., Vághy R., et al. Effect of balneotherapy on the antioxidant system – a controlled pilot study. Arch Med Res. 2007; 38 (1): 86–9. https://doi.org/10.1016/j.arcmed.2006.08.007.Bender T., Bariska J., Vághy R., et al. Effect of balneotherapy on the antioxidant system – a controlled pilot study. Arch Med Res. 2007; 38 (1): 86–9. https://doi.org/10.1016/j.arcmed.2006.08.007.Государственный реестр курортного фонда РФ. Аэротерапия. URL: https://kurort.minzdrav.gov.ru/articles/13/31 (дата обращения 23.11.2024).State Register of the Russian Federation Resort Fund. Aerotherapy. Available at: https://kurort.minzdrav.gov.ru/articles/13/31 (in Russ.) (accessed 23.11.2024).Разумов А.Н., Ежов В.В., Довгань И.А., Пономаренко Г.Н. Лечебные эффекты климатотерапии: наукометрический анализ доказательных исследований. Вопросы курортологии, физиотерапии и лечебной физической культуры. 2020; 97 (6): 59–67. https://doi.org/10.17116/kurort20209706159.Razumov A.N., Ezhov V.V., Dovgan I.A., Ponomarenko G.N. Therapeutic effects of climototherapy: scientomatrical analysis of evidence-based studies. Problems of Balneology, Physiotherapy and Exercise Therapy. 2020; 97 (6): 59–67 (in Russ.). https://doi.org/10.17116/kurort20209706159.Государственный реестр курортного фонда РФ. Гелиотерапия (климатолечение). URL: https://kurort.minzdrav.gov.ru/articles/13/29 (дата обращения 23.11.2024).State Register of the Russian Federation Resort Fund. Heliotherapy (climatotherapy). Available at: https://kurort.minzdrav.gov.ru/articles/13/29 (in Russ.) (accessed 23.11.2024).Szenczi A., Peter I., Nusser N., et al. Is balneotherapy protective against oxidative stress? A pilot study. In Vivo. 2023; 37 (2): 858–61. https://doi.org/10.21873/invivo.13153.Szenczi A., Peter I., Nusser N., et al. Is balneotherapy protective against oxidative stress? A pilot study. In Vivo. 2023; 37 (2): 858–61. https://doi.org/10.21873/invivo.13153.Ozkurt S., Dönmez A., Zeki Karagülle M., et al. Balneotherapy in fibromyalgia: a single blind randomized controlled clinical study. Rheumatol Int. 2012; 32 (7): 1949–54. https://doi.org/10.1007/s00296-011-1888-9.Ozkurt S., Dönmez A., Zeki Karagülle M., et al. Balneotherapy in fibromyalgia: a single blind randomized controlled clinical study. Rheumatol Int. 2012; 32 (7): 1949–54. https://doi.org/10.1007/s00296-011-1888-9.Polshchakova T., Gushcha S., Bevz L., Plakida A. The use of radon baths in the rehabilitation of patients with osteochondrosis. Eur Rev Med Pharmacol Sci. 2022; 26 (17): 6107–9. https://doi.org/10.26355/eurrev_202209_29627.Polshchakova T., Gushcha S., Bevz L., Plakida A. The use of radon baths in the rehabilitation of patients with osteochondrosis. Eur Rev Med Pharmacol Sci. 2022; 26 (17): 6107–9. https://doi.org/10.26355/eurrev_202209_29627.Kostrzon M., Sliwka A., Wloch T., et al. Subterranean pulmonary rehabilitation in chronic obstructive pulmonary disease. Adv Exp Med Biol. 2019; 1176: 35–46. https://doi.org/10.1007/5584_2019_354.Kostrzon M., Sliwka A., Wloch T., et al. Subterranean pulmonary rehabilitation in chronic obstructive pulmonary disease. Adv Exp Med Biol. 2019; 1176: 35–46. https://doi.org/10.1007/5584_2019_354.Катханова О.А., Сахнов С.Н. Природные физические факторы Черноморского побережья Кубани в восстановительном лечении детей, страдающих псориазом с сопутствующим офтальмогерпесом. Вопросы курортологии, физиотерапии и лечебной физической культуры. 2009; 2: 36–7.Katkhanova O.A., Sakhnov S.N. Natural physical factors of the Kuban’ Black Sea coastal area in the rehabilitative treatment of children with psoriasis and concomitant ophthalmoherpes. Problems of Balneology, Physiotherapy and Exercise Therapy. 2009; 2: 36–7 (in Russ.).Larsen M.H., Krogstad A.L., Wahl A.K. Alexithymia, illness perception and self-management competency in psoriasis. Acta Derm Venereol. 2017; 97 (8): 934–40. https://doi.org/10.2340/00015555-2707.Larsen M.H., Krogstad A.L., Wahl A.K. Alexithymia, illness perception and self-management competency in psoriasis. Acta Derm Venereol. 2017; 97 (8): 934–40. https://doi.org/10.2340/00015555-2707.Staalesen Strumse Y.A., Nordvåg B.Y., Stanghelle J.K., et al. Efficacy of rehabilitation for patients with ankylosing spondylitis: comparison of a four-week rehabilitation programme in a Mediterranean and a Norwegian setting. J Rehabil Med. 2011; 43 (6): 534–42. https://doi.org/10.2340/16501977-0804.Staalesen Strumse Y.A., Nordvåg B.Y., Stanghelle J.K., et al. Efficacy of rehabilitation for patients with ankylosing spondylitis: comparison of a four-week rehabilitation programme in a Mediterranean and a Norwegian setting. J Rehabil Med. 2011; 43 (6): 534–42. https://doi.org/10.2340/16501977-0804.Langhorst J., Musial F., Klose P., Häuser W. Efficacy of hydrotherapy in fibromyalgia syndrome – a meta-analysis of randomized controlled clinical trials. Rheumatology. 2009; 48 (9): 1155–9. https://doi.org/10.1093/rheumatology/kep182.Langhorst J., Musial F., Klose P., Häuser W. Efficacy of hydrotherapy in fibromyalgia syndrome – a meta-analysis of randomized controlled clinical trials. Rheumatology. 2009; 48 (9): 1155–9. https://doi.org/10.1093/rheumatology/kep182.Федорович С.В., Арсентьева Н.Л. Спелеотерапия: сегодня, завтра. Проблемы здоровья и экологии. 2008; 1: 88–94. https://doi.org/10.51523/2708-6011.2008-5-1-19.Fedorovich S.V., Arsentjeva N.L. Speleotherapy: today, tomorrow! Health and Ecology Issues. 2008; 1: 88–94 (in Russ.). https://doi.org/10.51523/2708-6011.2008-5-1-19.Иванова О.Н., Иванова И.С. Высокогорная спелеотерапия в лечении бронхиальной астмы. Российский иммунологический журнал. 2024; 27 (1): 95–100. https://doi.org/10.46235/1028-7221-13539-HAS.Ivanova O.N., Ivanova I.S. High-altitude speleotherapy in the treatment of bronchial asthma. Russian Journal of Immunology. 2024; 27 (1): 95–100 (in Russ.). https://doi.org/10.46235/1028-7221-13539-HAS.Файнбург Г.З. Пермское «ноу-хау» для санаторно-курортного лечения в сильвинитовых спелеоклиматических соляных пещерах. Здоровье, демография, экология финно-угорских народов. 2017; 2: 46–51 (на англ. яз.).Fainburg G.Z. The Permian “know-how” for health resort care by a sylvinite speleoclimatic salt caves. Health, Demography, Ecology of the Finno-Ugric Peoples. 2017; 2: 46–51.

The authors declare that there are no conflicts of interest present.