The importance of movement for venous leg ulcer prevention and healing

This narrative review will explore the importance of movement in wound healing, specifically in relation to venous leg ulcers (VLUs), particularly in older people. It reviews the effect of immobility from both a physical and psychological perspective, looking at different body systems, as well as the impact of having a wound. An overview of some research evidence on the positive effect of exercise/movement on wound healing and general health and wellbeing are presented, along with the impact of exercising in green spaces and the positive psychological benefits of exposure to green spaces. The interaction of the calf muscle complex and the ankle joint on mobility and balance, and the complex interaction of venous leg ulcer formation are discussed. The article presents some simple tips and resources to promote movement among patients with, or at risk of, VLUs, along with a quick and easy way of measuring a person's mobility level.