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May 24-25, 2018

London, UK

Vascular Surgery 2018



Edition of World Congress & Exhibition on

Vascular Surgery

Journal of Vascular and Endovascular Therapy

ISSN: 2573-4482

Statement of the Problem:

Walking is the recommended mode

of exercise for moderate intermittent claudication (IC). There is

currently limited information on the effect of remote ischemic

preconditioning (RIPC) and structured resistance exercise

(SE), specifically full-body exercise using resistance bands, for

improving walking ability. The purpose of this study is to determine

if an at home structured resistance exercise programme would

elicit similar improvements in walking ability, body strength

endurance and quality of life (QOL) in individuals with moderate

IC compared to a combination intervention of RIPC and at home

structured resistance exercise.

Methodology & Theoretical Orientation:

As a pilot study

participant were recruited from the vascular clinic over a 52-weeks

and randomly allocated to one of two interventions: a 12-week

RIPC and at home SE programme (RIPCS+SE) or a 12-week at

home SE programme alone. Walking abilities and body strength

endurance were assessed at baseline, 6-weeks and 12-weeks. QOL

was assessed using EQ-5D-3L questionnaire. Findings: Thirty-one

participants were recruited, 25 males and 6 females, whereby 15

were randomized to the 12-week RIPC+SE and 16 to the 12-week

at home SE programme. Seven participants completed 6-weeks

and 3 completed 12-weeks of the at home SE programme. Eight

participants completed 6 weeks and 3 completed 12-weeks

of the RIPC+SE programme. The median pain-free walking

distance (PFWD) at baseline was 139.92m in the RIPC+SE group

and 137.515m in the SE group. At 12 weeks the median PFWD

was 316.625m and 294.5m in the RIPC+SE and the SE groups

respectively. QOL scores were similar in both groups. Conclusion &

Significance: Both interventions achieved significant improvements

in PFWD. An at home SE programme, facilitates patient autonomy

on timing and place of treatment, may be an effective intervention

for patients with moderate IC. Further studies are required to

determine the efficacy of this intervention.

Recent Publications

1. Delagarde, H., Ouadraougo, N., Grall, S., Macchi, L., Roy,

P., Abraham, P., & Prunier, F. (2015). Remote ischaemic

preconditioning in intermittent claudication. Archives Of

Cardiovascular Diseases, 108(10), 472-479.

2. Fokkenrood, H., Lauret, G., Verhofstad, N., Bendermacher,

B., Scheltinga, M., & Teijink, J. (2015). The Effect of

Supervised Exercise Therapy on Physical Activity and

Ambulatory Activities in Patients with Intermittent

Claudication. European Journal Of Vascular And

Endovascular Surgery, 49(2), 184-191.

3. Gerhard-Herman, M., Gornik, H., Barrett, C., Barshes,

N., Corriere, M., & Drachman, D. et al. (2016). 2016

AHA/ACC Guideline on the Management of Patients

With Lower Extremity Peripheral Artery Disease:

Executive Summary: A Report of the American College

of Cardiology/American Heart Association Task Force

on Clinical Practice Guidelines. Circulation, 135(12),


4. Hageman, D., Gommans, L., Scheltinga, M., & Teijink, J.

(2016). Effect of diabetes mellitus on walking distance

parameters after supervised exercise therapy for

intermittent claudication: A systematic review. Vascular

Medicine, 22(1), 21-27.

5. Sigvant, B., Lundin, F., & Wahlberg, E. (2016). The Risk

of Disease Progression in Peripheral Arterial Disease

is Higher than Expected: A Meta-Analysis of Mortality

and Disease Progression in Peripheral Arterial Disease.

European Journal Of Vascular And Endovascular Surgery,

51(3), 395-403.


Shannon Hernon is currently an exercise specialist and PhD researcher at the

National University of Ireland Galway. Her expertise roots from an education

in exercise and sport science and has expanded to personal training and ex-

ercise intervention for special populations. Shannon’s at home full body resis-

tance exercises programmes has allowed a new approach to management

of intermittent claudication. She is currently working on a project comparing

at home resistance exercise to supervised walking to determine if both pro-

grammes will elicit similar psychological and physiological benefits for mod-

erate intermittent claudication

Structured Resistance Exercise and Remote Ischemic

Preconditioning for Moderate Intermittent Claudication

Shannon Hernon, Yvonne Finn


Micheál Newell

National University of Ireland Galway, Ireland

Shannon Hernon et al., J Vasc Endovasc Therapy 2018, Volume 3

DOI: 10.21767/2573-4482-C1-002