An understanding of the physics of the mutual interaction between gas flow and oscillating blades, and the development of predictive capabilities is essential for improving overall efficiency, durability and reliability. In this study presented the algorithm proposed involving the coupled solution of 3D unsteady flow through a turbine stage and dynamic problem for rotor blades motion by action of aerodynamic forces without separating outer and inner flow fluctuations. There has been performed the calculations for the last stage of the steam turbine under design and off-design regimes. It has investigated the mutual influence of both outer flow non-uniformity and blades oscillations. It has shown that amplitude-frequency spectrum of blade oscillations contains the high frequency harmonics, corresponding to rotor moving one stator blade pitch, and low frequency harmonics caused by blade oscillations and flow non-uniformity downstream from the blade row. An understanding of the physics of the mutual interaction between gas flow and oscillating blades, and the development of predictive capabilities is essential for improving overall efficiency, durability and reliability. In this study presented the algorithm proposed involving the coupled solution of 3D unsteady flow through a turbine has a dynamic problem for rotor blades motion by action of aerodynamic forces without separating outer and inner flow fluctuations. There has been performed the calculations for the last stage of the steam turbine under design and off-design regimes. of both outer flow non-uniformity and blades oscillations. It has shown that amplitude-frequency spectrum of blade oscillations contains the high frequency harmonics, corresponding to rotor moving one stator blade pitch, and low frequency harmonics caused by blade oscillations and flow non-uniformity downstream from the blade row.