Twenty-seven patients , 63 % female ( mean standard deviations age , 72 9 years ) , with diabetic neuropathy randomly assigned to receive a multimodal manual treatment approach including analyzing treadmill with feedback focused , isokinetic dynamometric muscle strengthening , and balance retraining on dynamic balance platform or a standard care intervention for activities targeted to improve endurance , manual exercises of muscle strengthening , stretching exercises , gait , and balance exercises ( 5 weekly over 4 weeks ) .