Prehabilitation for PAD Revascularization Patients

A Pilot Trial of Prehabilitation Among Patients Undergoing PAD Revascularization

Patients undergoing elective revascularization of their peripheral artery disease will be randomized to a prehabilitation program or usual care prior to their scheduled procedure.

Patients undergoing elective revascularization for their peripheral artery disease will be randomized to a "prehabilitation" program prior to their surgery or to usual care. The prehabilitation program is self-directed program designed to improve health and quality of life prior to surgery. The program is currently offered to general surgery patients; this study will examine the feasibility and acceptability of such a program in a different patient population.

Inclusion Criteria:

• Documented lower extremity PAD
• Ability to walk at least 1 block
• Sedentary
• Medical clearance from the surgical team
• Competent to provide consent

Exclusion Criteria:

• Life expectancy < 6 months
• Co-morbidities which limit walking to a severe degree
• Signs of critical limb ischemia
• Recent or current enrollment in a formal exercise program
• Recent cardiovascular events including stroke, TIA, severe valve disease, etc.
• Current substance abuse
• Psychiatric disorder which limits ability to participate in study procedures
• Non-English speaking