Background/Purpose: Diabetes Mellitus (DM) is a common disease in the United States with more and more people diagnosed each year. A form of DM known as type II has many serious complications, including peripheral neuropathy. Diabetic peripheral neuropathy can result in both sensory and neural damage which can lead to a host of impairments. The purpose of this evidence-based analysis was to analyze the effects of physical therapy intervention in people with diabetic peripheral neuropathy.

Case Description: The patient is a 50-year-old Native American male referred to physical therapy for peripheral neuropathy complications associated with a diagnosis of DM II to determine the best treatment outcome for improving balance and gait deficiencies.

Outcomes: A review of current available evidence revealed that an individualized exercise program administered by a skilled professional physical therapist can significantly improve balance, strength, gait and overall functional abilities in a person with diabetic peripheral neuropathy.

Discussion: This evidence based analysis describes a well-rounded evidence based approach for providing treatment for a patient with diabetic peripheral neuropathy. The available research provides treatment strategies that can be implemented in a wide range of clinical settings. Although there is a need for a high-quality evidence that can be generalizable to a greater population. Overall, current evidence suggest that the progression of peripheral neuropathy can be halted or damped by performing an individualized exercise program. In addition to the many benefits of exercise.

Document Type


Degree Name

Doctor of Physical Therapy (DPT)

First Advisor

Jodi Schilz


Peripheral Nueropathy, Type II Diabetes, Gait and Balance Impairments