Evidence map›Paper›PMID 25278335›Full record

Trial reportPhysical therapy2015

Safety of aerobic exercise in people with diabetic peripheral neuropathy: single-group clinical trial.

Patricia M Kluding, Mamatha Pasnoor, Rupali Singh, Linda J D'Silva, Min Yoo, Sandra A Billinger, Joseph W LeMaster, Mazen M Dimachkie, Laura Herbelin, Douglas E Wright

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Physical therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 66 citations in OpenAlex.

  1. Trial
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  6. Article
  7. Review
  8. Diabetic neuropathy: cutting-edge research and future directions.Signal transduction and targeted therapy · 2025
    Review
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  14. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Patricia M KludingP.M. Kluding, PT, PhD, Physical Therapy and Rehabilitation Sciences, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS 66160 (USA). pkluding@kumc.edu.
Mamatha PasnoorM. Pasnoor, MD, Department of Neurology, University of Kansas Medical Center.
Rupali SinghR. Singh, PhD, Physical Therapy, The Sage Colleges, Troy, New York.
Linda J D'SilvaL.J. D'Silva, PT, Physical Therapy and Rehabilitation Sciences, University of Kansas Medical Center.
Min YooM. Yoo, MS, Physical Therapy and Rehabilitation Sciences, University of Kansas Medical Center.
Sandra A BillingerS.A. Billinger, PT, PhD, Physical Therapy and Rehabilitation Sciences, University of Kansas Medical Center.
Joseph W LeMasterJ.W. LeMaster, MD, MPH, Department of Family Medicine, University of Kansas Medical Center.
Mazen M DimachkieM.M. Dimachkie, MD, FANA, Department of Neurology, University of Kansas Medical Center.
Laura HerbelinL. Herbelin, BSc, PTA, Department of Neurology, University of Kansas Medical Center.
Douglas E WrightD.E. Wright, PhD, Department of Anatomy and Cell Biology, University of Kansas Medical Center.
University of Kansas Medical Center · USMcMaster University Medical Centre · CASage Colleges · USUniversity Medical Center · USWright Medical Technology (United States) · US

Funding

Heartland Institute for Clinical and Translational ResearchUL1TR000001 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BAROHN, RICHARD J. · 2012 to 2015
$13.0M
Painful Versus Insensate Diabetic NeuropathyR01NS043314 · NINDS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Douglas E Wright · 2003 to 2026
$6.7M
Kansas University Training Program in Neurological and Rehabilitation SciencesT32HD057850 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Jacob J. Sosnoff · 2009 to 2026
$3.4M
Heartland Institute for Clinical and Translational ResearchTL1TR000120 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BAROHN, RICHARD J. · 2012 to 2015
$549k
Examining Vascular Regulation Following Acute StrokeK01HD067318 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BILLINGER, SANDRA A · 2011 to 2015
$505k
NCATS NIH HHS TL1 TR000120NCATS NIH HHS TL1TR000120NCATS NIH HHS UL1 TR000001NCATS NIH HHS UL1TR000001NICHD NIH HHS K01 HD067318NICHD NIH HHS K01HD067318NICHD NIH HHS T32 HD057850NICHD NIH HHS T32HD057850NINDS NIH HHS R01 NS043314
6 · The paper itself

Abstract

backgroundExercise is recommended for people with diabetes, but little is known about exercise in people with diabetic peripheral neuropathy (DPN).

objectiveThe primary purpose of this preliminary study was to examine adverse events (AEs) during moderate-intensity, supervised aerobic exercise in people with DPN. The secondary purpose was to examine changes in fatigue, aerobic fitness, and other outcomes after intervention.

designThis was a single-group preliminary study.

settingThe setting was an academic medical center.

participantsParticipants were 18 people who were sedentary and had type 2 diabetes and peripheral neuropathy (mean age=58.1 years, SD=5).

interventionThe intervention was a supervised 16-week aerobic exercise program (3 times per week at 50% to >70% oxygen uptake reserve). MEASUREMENTS: Adverse events were categorized as related or unrelated to the study, anticipated or unanticipated, and serious or not serious. Outcomes included fatigue (Multidimensional Fatigue Inventory), cardiovascular fitness (peak oxygen uptake), body composition (dual-energy x-ray absorptiometry), sleep quality, plasma metabolic markers, and peripheral vascular function.

resultsDuring the study, 57 nonserious AEs occurred. Improvements were found in general fatigue (mean change=-3.5; 95% confidence interval [95% CI]=-1.3, -5.3), physical fatigue (mean change=-3.1; 95% CI=-1.2, -5.0), peak oxygen uptake (mean change=1.1 mL·kg(-1)·min(-1); 95% CI=0.2, 1.9), total body fat (mean change=-1%; 95% CI=-0.3, -1.7), fat mass (mean change=-1,780 g; 95% CI=-616.2, -2,938.7), and peripheral blood flow (mean change=2.27%; 95% CI=0.6, 4.0). LIMITATIONS: This was a small-scale, uncontrolled study. A future randomized controlled trial is needed to fully assess the effects of exercise on the outcomes.

conclusionsThis study provides new support for supervised aerobic exercise in people with DPN. However, it is important for physical therapists to carefully prescribe initial exercise intensity and provide close monitoring and education to address the anticipated AEs as people who are sedentary and have DPN begin an exercise program.

Indexed as

ExerciseAdultBiomarkersBody CompositionBrachial ArteryDiabetic NeuropathiesFatigueFemaleHumansMaleMiddle AgedOxygen ConsumptionRegistriesSedentary BehaviorSleepSurveys and QuestionnairesBiomarkers

Identifiers

PMID25278335
PMCPMC4757647
OpenAlexW2138144235

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.