Response to Research Article Pt. 2 Updated(PP2)
Despite the study having many positive findings it is lacking many important aspects. These gaps are important to the study and can make it unreliable. First, there are no control subjects to compare the DPN subjects to (no non-diabetic subjects or diabetic subjects without DPN). Therefore it is not a randomized study with a placebo present. The participants are all older individuals with a wide range of diabetes duration (12.2 years). The authors also do not define what stage of neuropathy the patients are experiencing at any point in the study. Also, there is no specific regimen on what equipment is used for exercise training. Although it is a supervised exercise intervention, the subjects are allowed to choose from a variety of options and are only encouraged to utilize different equipment. A nerve conduction study is used to test conduction velocity, motor action potential, and amplitude, but no significant changes were found. Lastly, skin biopsies are used to test intraepidermal nerve fiber density and epidermal axon branching.
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