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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">rehab</journal-id><journal-title-group><journal-title xml:lang="ru">Реабилитология</journal-title><trans-title-group xml:lang="en"><trans-title>Journal of Medical Rehabilitation</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2949-5873</issn><issn pub-type="epub">2949-5881</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17749/2949-5873/rehabil.2025.45</article-id><article-id custom-type="elpub" pub-id-type="custom">rehab-76</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>ОБЗОРНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW ARTICLES</subject></subj-group></article-categories><title-group><article-title>Направления совершенствования технологий бальнеотерапии</article-title><trans-title-group xml:lang="en"><trans-title>Enhancing effects of balneotherapeutic treatments</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3175-6308</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Борисевич</surname><given-names>О. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Borisevich</surname><given-names>О. О.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Борисевич Ольга Олеговна, к.м.н.</p><p>Author ID: 57220196629;</p><p>ул. Новый Арбат, д. 32, Москва 121099</p></bio><bio xml:lang="en"><p>Olga О. Borisevich, PhD</p><p>Author ID: 57220196629;</p><p>32 Novyy Arbat Str., Moscow 121099</p><p> </p></bio><email xlink:type="simple">BorisevichOO@nmicrk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гелашвили</surname><given-names>А. З.</given-names></name><name name-style="western" xml:lang="en"><surname>Gelashvili</surname><given-names>А. Z.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гелашвили Анна Зурабовна – акушер-гинеколог</p><p>ул. Фортунатовская, д. 1, Москва 105187</p></bio><bio xml:lang="en"><p>Anna Z. Gelashvili – акушер-гинеколог</p><p>1 Fortunatovskaya Str., Moscow 105187</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр&#13;
реабилитации и курортологии» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center for Rehabilitation and Balneology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Государственное бюджетное учреждение здравоохранения г. Москвы «Городская клиническая больница им. Ф.И. Иноземцева Департамента здравоохранения г. Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Inozemtsev City Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>13</day><month>02</month><year>2026</year></pub-date><volume>3</volume><issue>2</issue><fpage>132</fpage><lpage>145</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Борисевич О.О., Гелашвили А.З., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Борисевич О.О., Гелашвили А.З.</copyright-holder><copyright-holder xml:lang="en">Borisevich О.О., Gelashvili А.Z.</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://www.rehabilitology.com/jour/article/view/76">https://www.rehabilitology.com/jour/article/view/76</self-uri><abstract><p>Бальнеотерапия является одним из старейших методов реабилитации, который дошел до нас практически без изменений. Развитие медицинских технологий и персонифицированного подхода, внедрение принципов доказательной медицины привели к пересмотру значимости бальнеотерапии и необходимости анализа ее механизма действия. В рамках данного обзора рассмотрена специфика применения отдельных типов минеральных вод, показано влияние концентрации растворенных в минеральной воде веществ, температуры воды и продолжительности сеанса бальнеотерапии, а также наличия сопутствующих патологий у пациента на проявляемые эффекты и риски возникновения нежелательных реакций.</p></abstract><trans-abstract xml:lang="en"><p>Balneotherapy is one of the oldest rehabilitation treatments, which has remained unchanged to date. The development of medical technologies, personalized approach and implementation of evidence-based medicine have led to reevaluation of balneotherapy and necessity to analyze its mechanisms. This review looks into specific applications of certain mineral waters, demonstrates the impact of mineral concentration of the water, its temperature, duration of balneotherapy session, as well as the presence of concomitant pathologies in patients on therapeutical effects or risks of adverse reactions.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>реабилитация</kwd><kwd>методы реабилитации</kwd><kwd>бальнеотерапия</kwd><kwd>действие минеральных вод</kwd><kwd>дозозависимые эффекты</kwd><kwd>коморбидная патология</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Rehabilitation</kwd><kwd>rehabilitation therapies</kwd><kwd>balneotherapy</kwd><kwd>mineral water effects</kwd><kwd>dose-dependent effects</kwd><kwd>comorbid pathology</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">Jackson R. Waters and spas in the classical world. 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