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Updated: Jul 1, 2025

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Exercise therapy for chronic symptomatic peripheral artery disease.

Lucia Mazzolai1, Jill Belch2, Maarit Venermo3,4

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Summary

Structured exercise programs are crucial for managing peripheral artery disease (PAD). This consensus provides clinicians guidance on setting up effective exercise protocols for patients with symptomatic chronic PAD.

Keywords:
Exercise trainingIntermittent claudicationPhysical activityQuality of lifeVascular rehabilitation

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Area of Science:

  • Cardiology
  • Vascular Medicine
  • Rehabilitation

Background:

  • Exercise is a cornerstone in managing lower extremity peripheral artery disease (PAD).
  • Optimal results are achieved through structured exercise therapy programs.
  • Clinical guidelines universally recommend exercise for PAD patients.

Purpose of the Study:

  • To guide clinicians in establishing comprehensive exercise programs for symptomatic chronic PAD patients.
  • To present specific exercise training protocols tailored for PAD.
  • To summarize current evidence on patient assessment and outcome measures.

Main Methods:

  • Narrative review of current best evidence.
  • Description of various exercise training modalities for PAD.
  • Discussion of patient assessment and outcome measures.

Main Results:

  • Detailed presentation of exercise protocols for PAD.
  • Summary of evidence-based patient assessment and outcome measures.
  • Highlighting disparities in access to supervised exercise programs across Europe.

Conclusions:

  • Comprehensive exercise programs are essential for symptomatic chronic PAD.
  • Further research is needed to address evidence gaps and improve access to supervised exercise.
  • Clinicians require guidance for effective PAD exercise program implementation.