Table 2. Recommendations for Structured Exercise Therapy for Peripheral Artery Disease

COR LOE Recommendations
I A In patients with claudication, a supervised exercise program is recommended to improve functional status and QOL and to reduce leg symptoms.
I B-R A supervised exercise program should be discussed as a treatment option for claudication before possible revascularization.
IIa A In patients with PAD, a structured community- or home-based exercise program with behavioral change techniques can be beneficial to improve walking ability and functional status.
IIa A In patients with claudication, alternative strategies of exercise therapy, including upper-body ergometry, cycling, and pain-free or low-intensity walking that avoids moderate-to-maximum claudication while walking, can be beneficial to improve walking ability and functional status.
COR, class of recommendation; LOE, level of evidence; QOL, quality of life, B-R, level B (randomized)