Physical and rehabilitation medicine, medical rehabilitationPhysical and rehabilitation medicine, medical rehabilitationФизическая и реабилитационная медицина, медицинская реабилитация2658-68432949-1436Eco-Vector56854310.36425/rehab568543REVIEWSНАУЧНЫЙ ОБЗОРReview ArticleFeatures of postural control of elderly patients with osteoporosis: OverviewОсобенности постурального контроля пациентов пожилого возраста с остеопорозом: обзорhttps://orcid.org/0000-0003-4477-748X1793-4555ZverevYuriy P.ЗверевЮрий Павлович
Russian Federation

MD, Cand. Sci. (Med.), Associate Professor

канд. мед. наук, доцент

yzverev@yahoo.comhttps://orcid.org/0000-0002-3157-22189647-5272TulichevAlexander A.ТуличевАлександр Алексеевич
Russian Federation

MD, Cand. Sci. (Med.)

канд. мед. наук

mr.tulichev@mail.ruhttps://orcid.org/0000-0003-0282-72076062-2584BuilovaTatyana V.БуйловаТатьяна Валентиновна
Russian Federation

MD, Dr. Sci. (Med.), Professor

д-р мед. наук, профессор

tvbuilova@list.ruhttps://orcid.org/0009-0002-3234-1363IoskoNatalya V.ИоськоНаталья Валерьевна
Russian Federation
ionava1979@yandex.ruhttps://orcid.org/0000-0002-1175-5244IgnatievaMaria O.ИгнатьеваМария Олеговна
Russian Federation
mialk8@list.ruhttps://orcid.org/0000-0002-5156-0134BormotkinaNatalia A.БормоткинаНаталья Александровна
Russian Federation
natuseneka@yandex.ruLobachevsky State University of Nizhni NovgorodНациональный исследовательский Нижегородский государственный университет имени Н.И. ЛобачевскогоPrivolzhsky Research Medical UniversityПриволжский исследовательский медицинский университет30092023532552641808202324082023Copyright ©; 2023, Eco-VectorCopyright ©; 2023, Эко-Вектор2023Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0https://journals.eco-vector.com/2658-6843/article/view/568543

The study discusses the features of postural control of patients with senile and presenile osteoporosis. Age-related changes in the components and mechanisms of the postural control system are summarized. The main factors that are associated with osteoporosis and affect the postural balance, namely, reduced bone mineralization, postural deformities, pathological fractures, and sarcopenia, are discussed. The key problems of older patients with osteoporosis associated with a decrease in postural stability are considered. These problems are associated with an increased risk of falls and injuries, fear of falls, reduced functional mobility, and quality of life.

On the analysis of literature sources, a hypothetical model of postural control and interaction between age-associated and osteoporosis-associated factors is proposed.

В обзоре рассматриваются особенности постурального контроля пациентов с сенильным и пресенильным остеопорозом. Обобщены возрастные изменения компонентов и механизмов системы постурального контроля. Обсуждаются основные факторы, ассоциированные с остеопорозом и влияющие на постуральный баланс, а именно: сниженная минерализация костей, постуральные деформации, патологические переломы и саркопения. Рассматриваются ключевые проблемы пациентов пожилого возраста с остеопорозом, вызванные снижением постуральной устойчивости и связанные, прежде всего, с повышенным риском падений и травматизаций, страхом падений, снижением функциональной мобильности и качества жизни.

На основе анализа литературных источников предложена гипотетическая модель постурального контроля и взаимодействия между возрастассоциированными и остеопорозассоциированными факторами.

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