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May 24-25, 2018
London, UK
Vascular Surgery 2018
3
rd
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),
e686-e725.
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.
Biography
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
dr_sanjaysingh@hotmail.comStructured Resistance Exercise and Remote Ischemic
Preconditioning for Moderate Intermittent Claudication
Shannon Hernon, Yvonne Finn
and
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