The purpose of the study was to substantiate theoretically the possibility of complex application of vacuum therapy and kinesiotherapy in elderly people with chronic wound healing. Materials and methods. The methodological approach was used in the study: an analysis of literary sources and Internet resources; analysis of advanced foreign and domestic experience, system analysis method, comparison method, organizational analysis. Results and discussion. Vacuum therapy of wounds is considered as an additional method of treatment in patients with chronic wounds and wounds that heal for a long time, which is especially important for the elderly people because of the slowed metabolism and reduced immunological resistance of the body. Vacuum therapy stimulates wound healing by using localized negative pressure on the surface of the wound, and helps to remove excess of exudate around and within the wound. Another method of physical therapy which has a positive effect on the processes of recovery or recuperation of motor function, reducing the risk of complications (thromboembolism, respiratory diseases, pressure ulcers, contractures) and maintaining the patient's overall physical ability is kinesiotherapy. Kinesiotherapy, the main meaning of which is physical exercise, is aimed at improving aerobic performance, muscle performance of strength and endurance, stretching and lengthening of muscles, mechanisms of neuro-muscular control of inhibition and excitation. Any exercise activates not only the musculoskeletal system, but also all body systems, including nervous, hormonal, immune, which significantly accelerates the healing process. The main meaning of physical exercise, along with the use of vacuum therapy, is the dosed performance of physical activity with a healthy limb or a segment of the body to improve trophicity in tissues to achieve a general tonic and trophic effect caused by physical exercise for a faster resorption of inflammation products, preventing the appearance of hyperproliferative processes in wounds. Conclusion. It was theoretically substantiated that the combined use of negative pressure therapy and kinesiotherapy can lead to a reduction in the time of complete wound healing and a decrease in the time of temporary disability / inability to self-care, as well as contribute to an earlier restoration of daily activity. Exercise for the elderly may include: aerobic exercise to improve endurance and recovery; body mechanics training; breathing exercises for the prevention of congestion in the lungs; exercises to develop coordination of movements; self-care skills training; ideomotor exercises; perception training; exercises for the amplitude of movements and stretching of soft tissues; relaxation exercises; exercises for general strengthening, strength and endurance

Keywords: physical therapy, kinesiotherapy, vacuum therapy, VAC-therapy, wound process

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1. Privolnev V, Karakulina E. Osnovnye printsipy mestnogo lecheniya ran i ranevoy infektsii [Basic principles of local treatment of wounds and wound infection]. Bolezni i vozbuditeli. 2011; 13(3): 214-222. [Russian]
2. Ivanusa S, Zubarev P, Risman B, Litvinov O. Sovremennye printsipy lecheniya gnoynykh ran [Modern principles for the treatment of purulent wounds]. Uchebnoe posobie dlya slushateley fakulteta podgotovki vrachey i ordinatorov po spetsialnosti «Khirurgiya». SPb: Onli-Press; 2017. [Russian]
3. Kalonova IV, Bohdanovska NV. Erhoterapiya v heriatrychniy reabilitatsiyi [Ergotherapy in geriatric rehabilitation]. Visnyk Zaporizkoho natsionalnoho universytetu. Fizychne vykhovannya ta sport. 2017; 1: 123-130. [Ukrainian]
4. Tlyasheva LG, Solomatina NV, Babina NA. Silovaya kineziterapiya v profilaktike sarkopenii u patsientov pozhilogo i starcheskogo vozrasta s degenerativno-distroficheskimi izmeneniyami poyasnichnogo otdela pozvonochnika [Power kinesitherapy in the prevention of sarkopenia in patients of elderly and senile age with degenerative-dystrophic changes in the lumbar spine]. Klinicheskaya gerontologiya. 2017; 23: 11-12. [Russian]
5. Bansal P, Bingemann TA, Greenhawt M, Mosnaim G, Nanda A, Oppenheimer J, et al. Clinician wellness during the COVID-19 pandemic: extraordinary times and unusual challenges for the allergist/immunologist. J Allergy Clin Immunol Pract. 2020; 8(6): 1781-1790. https://www.ncbi.nlm.nih.gov/pubmed/32259628. https://www.ncbi.nlm.nih.gov/pmc/articles/7129776. https://doi.org/10.1016/j.jaip.2020.04.001
6. ECRI Institute. FDA warns of bleeding, infection related to negative pressure wound therapy. Health Technol Trends. 2011; 23(6): 4-5, 8.
7. Goryunov SV, Abramov IS, Chaparyan BA, Egorkin MA, Zhidkikh SYu. Rukovodstvo po lecheniyu ran metodom upravlyaemogo otritsatelnogo davleniya [Guidance on the treatment of wounds by the method of controlled negative pressure]. M: Aprel; 2013. 130 s. [Russian]
8. Coutin JV, Lanz OI, Magnin-Bissel GC, Ehrich MF, Miller EI, Werre SR, et al. Cefazolin concentration in surgically created wounds treated with negative pressure wound therapy compared to surgically created wounds treated with nonadherent wound dressings. Vet Surg J. 2015; 44(1): 9-16. https://www.ncbi.nlm.nih.gov/pubmed/24962470. https://doi.org/10.1111/j.1532-950X.2014.12218.x
9. Ojeda-Thies C, Díaz-Gutiérrez AJ, Caba-Doussoux P. Indications for Vacuum-Assisted Wound Closure: When, Where and Why? European Instructional Lectures, 15th European Federation Congress of National Associations of Orthopedics and Traumatology. Springer; 2014. Vol 14. p. 47-59. https://doi.org/10.1007/978-3-642-54030-1_5
10. Danylov OA, Rybalchenko VF, Talko MO. Zastosuvannya vakuum-terapiyi pry hniyno-zapalnykh ta trofichnykh zakhvoryuvannyakh m'yakykh tkanyn u ditey [Application of vacuum therapy with purulent-inflammatory and trophic diseases of soft tissues in children]. Sovremennaya pedyatryya. 2017; 3(83): 107-111. [Ukrainian]. https://doi.org/10.15574/SP.2017.83.107
11. Sziklavari Z, Ried M, Neu R, Schemm R, Grosser C, Szöke T, et al. Mini-open vacuum-assisted closure therapy with instillation for debilitated and septic patients with pleural empyema. Eur J Cardiothorac Surg. 2015; 48(2): e9-16. https://www.ncbi.nlm.nih.gov/pubmed/26017017. https://doi.org/10.1093/ejcts/ezv186
12. Terskov DV, Cherdantsev DV, Dyatlov VYu, Kovalenko AA. Evolyutsiya primeneniya otritsatelnogo davleniya dlya lecheniya ran [Evolution of the use of negative pressure for the treatment of wounds]. Sovremennye problemy nauki i obrazovaniya. 2016; 3: 135-146. [Russian]
13. Fisher A, Brady B. Vacuum assisted wound closure therapy. Issues Emerg Health Technol. 2003 Mar; (44): 1-6. https://www.ncbi.nlm.nih.gov/pubmed/12653112
14. Kuzin MI, Kostyuchenok BM. Rany i ranevaya infektsiya [Wounds and wound infection]. Ripol Klassik; 2009. 593 s. [Russian]
15. Silin AA. Vakuum-terapiya v lechenii ran. Sovremennye tendentsii [Vacuum therapy in the treatment of wounds. Modern tendencies]. Voen meditsina. 2019; 1: 117-122. [Russian]
16. Hoshchynskyi VB, Kokhan RS, Mihenko BO, Herasymets YuM. Mistse vakuumnoi terapiyi u khirurhichnomu likuvanni varykoznoi khvoroby nyzhnikh kintsivok v stadiyi dekompensatsiyi [Place of vacuum therapy in surgical treatment of varicose disease of the lower extremities in the stage of decompensation]. Zdobutky klinichnoi ta eksperymentalnoi medytsyny. 2018; (1): 75-79. [Ukrainian]
17. Obolenskiy VN, Semenistyy AYu, Nikitin VG, Sychev DV. Vakuum-terapiya v lechenii ran i ranevoy infektsii [Vacuum therapy in the treatment of wounds and wound infection]. RMZh. 2010; 18(17): 1064-1072. [Russian]
18. Shylenko Yu. Kompleksne khirurhichne likuvannya hniynykh ran m’yakykh tkanyn u VIL-infikovanykh patsiyentiv [Complex surgical treatment of purulent wounds of soft tissues in HIV-infected patients]. Natsionalna medychna akademiya pislyadyplomnoi osvity imeni PL Shupyka; 2020. 161 s. [Ukrainian]