Combined Effects of Foot-Ankle Therapeutic Exercises and Mindful Walking in Patients With Diabetic Polyneuropathy

Inclusion Criteria: * Diagnosed with diabetic polyneuropathy (DPN) confirmed by medical history and clinical examination. * Experience pain and disability in foot/ankle, with a Numeric Pain Rating Scale (NPRS) score ≥ 4. * Independent walking ability for at least 10 m. * Age (40-75) years. * Ability to understand and follow exercise instructions. * A maximum of one amputated toe, not being the hallux. * Willingness to participate in the study and provide informed consent. Exclusion Criteria: * Presence of an active plantar ulcer or gangrene. * History of surgical procedure at the knee, ankle, or hip or indication of surgery throughout the intervention period. * Arthroplasty and/or orthosis of lower limbs or indication of lower limb arthroplasty throughout the intervention period. * Participating in other exercise programs or studies. * Dementia or inability to give consistent information. * Diagnosis of neurological diseases. * Neuropathic pain due to other causes (e.g., HIV, chemotherapy). * Major vascular complications and/or severe retinopathy.