All participants finished the program with positive rheology, pain reduction (p < 0.05), and hemodynamics. Overall performance variables improved in groups A1 and A2 (p < 0.05), PPG crest time in the calf improved (p < 0.05), and ABI improved from a mean of 0.83(A1) and 0.69 (A2) to a mean of 0.86 and 0.77 respectively (p < 0.05).