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Introduction: Physical inactivity is common among older American Indians. Several barriers impede the establishment and maintenance of routine exercise. We examined personal and built-environment barriers and facilitators to walking and physical activity and their relationship with health-related quality of life in American Indian elders.

Methods: We used descriptive statistics to report barriers and facilitators to walking and physical activity among a sample of 75 American Indians aged 50 to 74 years. Pearson correlation coefficients were used to examine the relationship between health-related quality of life and barriers to walking and physical activity after adjusting for caloric expenditure and total frequency of all exercise activities.

Indian Physical Map Download

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Results: Lack of willpower was the most commonly reported barrier. Elders were more likely to report personal as opposed to built-environment reasons for physical inactivity. Better health and being closer to interesting places were common walking facilitators. Health-related quality of life was inversely related to physical activity barriers, and poor mental health quality of life was more strongly associated with total barriers than poor physical health.

Conclusion: We identified a variety of barriers and facilitators that may influence walking and physical activity among American Indian elders. More research is needed to determine if interventions to reduce barriers and promote facilitators can lead to objective, functional health outcomes.

We realize you have a choice when it comes to selecting your physical therapy provider, and we look forward to providing you with exceptional care and a remarkable experience at our Indian Land physical therapy clinic!

Our mission is to serve our patients and we are committed to treating each of them promptly with integrity, honesty and compassion. Our reputation for best-in-class physical therapy, patient care and unparalleled customer service, combined with our local and regional density, make us the physical therapy clinic of choice for both patients and referral sources in Indian Land.

We work with most major insurance providers. Although coverage will vary from plan to plan, many physical therapy, occupational therapy and speciality therapy programs are covered under insurance. Learn more about our insurance coverage and self-pay options for physical therapy.

All OT/PT services require a referral through your UIHS provider. We are currently unable to receive walk-ins or referrals from non-UIHS providers. If you think you may benefit from occupational and physical therapy services, talk to your doctor today

Chris holds a Doctorate in Physical Therapy (DPT) from Winston Salem State University. He is currently pursuing a manual therapy certification and an Orthopedic Certified Specialist (OCS) certification. Before becoming a physical therapist, he worked as an engineer, but decided that he wanted to work with people instead of machines.

Our BreakThrough Physical Therapy clinic is easy to access before and after going about your other business in Indian Land. It is one exit off Charlotte Highway, allowing you to access it quickly by car. The convenient stops and ease of access help make our clinic one of the best options for patients seeking physical therapy near Spring Valley, SC.

Our BreakThrough clinic in Indian Land is for you if you are looking for exceptional physical therapy near Walnut Creek Park, SC. Our team includes dedicated and experienced physical therapists who can successfully treat and alleviate any pain in your muscles and bones. Various available treatments can reduce fall risk, reduce dizziness, and even reduce vertigo.

At our Indian Land clinic, we offer many different types of treatments, including injury prevention, balance/fall training, and exercises aimed at reducing pain. We also provide treatments to help manage headaches and symptoms likely to resurface when you are involved in a car accident. Pelvic health treatment is another of our specialties in Indian Land. Our team of expert physical therapists aims to provide individualized treatment plans to achieve optimal results.

Our physical therapists near Atrium Health Waxhaw focus on continuous learning to improve their skills and practice. Five of our therapists have doctorates in physical therapy. One of our physical therapists, certified in trigger point dry needling, is pursuing additional board certification as an orthopedic clinical specialist. We also have two experienced physical therapist assistants who help alleviate pain and dysfunction in the body.

My husband was skeptical of my choice to use physical therapy to treat my back pain instead of medications. After seeing my results from working with the BreakThrough Physical Therapy team, my husband is a believer now too.

Our licensed physical and occupational therapists have advanced training in treating musculoskeletal, orthopedic, and functional movement impairments. We are equipped to deliver individualized rehabilitation programs to give our patients the opportunity to achieve a successful recovery with limited downtime.

Dr. Anandpara has returned to her home in India to help open the first ActiveCare PT location in Mumbai. She looks forward to demonstrating the best physical therapy practices that aid in pain relief, edema control and neuromuscular activation.

Measurement of physical activity in epidemiological studies requires tools which are reliable, valid and culturally relevant. We attempted to develop a physical activity questionnaire (PAQ) that would measure physical activity in various domains over a year and which would be valid for use in adults of different age groups with varying levels of activity in urban and rural settings in low and middle income countries like India. The present paper aims to assess the reliability and validity of this new PAQ- termed the Madras Diabetes Research Foundation- Physical Activity Questionnaire (MPAQ).

The MPAQ was administered by trained interviewers to 543 individuals of either gender aged 20 years and above from urban and rural areas in 10 states of India from May to August 2011, followed by a repeat administration within a month for assessing reliability. Relative validity was performed against the Global Physical Activity Questionnaire (GPAQ). Construct validity was tested by plotting time spent in sitting and moderate and vigorous physical activity (MVPA) against body-mass index (BMI) and waist circumference. Criterion validity was assessed using the triaxial accelerometer, in a separate subset of 103 individuals. Bland and Altman plots were used to assess the agreement between MPAQ and accelerometer.

Physical inactivity has been recognized as a major modifiable risk factor for non-communicable diseases (NCDs) since the 1950s [1]. Recent reports have equated the impact of physical activity (PA) to that of smoking with respect to the worldwide burden of NCDs [2]. Physical activity is a challenging variable to measure, on account of the inherent complexity and diversity of human behavior. Traditionally, tools for measuring physical activity have been divided into subjective and objective methods. While the use of objective methods generally provides more accurate estimates of physical activity, these methods are cumbersome and impractical for use outside the setting of specialized research units. Subjective (self-reported) methods involving the use of physical activity questionnaires (PAQs) have therefore become the preferred method of assessing physical activity in epidemiological studies.

A number of PAQs have been described in the literature, most of which have been designed for use, and validated in, developed countries. Several factors mitigate against the use of these questionnaires in low and middle income countries like India. A major drawback of these PAQs in the Indian context, is the importance given to leisure time physical activity (LTPA). While LTPA contributes significantly to total physical activity in Western populations, studies from India show that less than 10% of the population performs any LTPA at all [3]. Also, the use of many of these PAQs demands a certain level of literacy in the respondents, which may not be the case in developing countries like India.

In recent years, international questionnaires such as the Global Physical Activity Questionnaire (GPAQ) [4] and International Physical Activity Questionnaire (IPAQ) [5] have been validated in several populations, including those of developing nations. Many of these questionnaires, though valid and reliable, do not permit collection of information on region-specific and culturally relevant activities across different domains. These questionnaires assess physical activity over the week prior to administration and may not be suited for use in individuals with varied educational levels as seen in India, as they require the respondent to self-rate their own level of activity intensity, which has been shown to be difficult in the Indian setting.

The Indian Migration Study (IMS) questionnaire [6] was developed as an alternative to the international questionnaires for use in India. While the IMS questionnaire is reliable, valid and culturally relevant, it only collects information pertaining to the month immediately preceding its administration. Also, the IMS questionnaire does not address the aspect of seasonality of occupations and variations in physical activity in individuals holding multiple jobs at the same time.

The MPAQ was developed (Additional file 1) after reviewing various published validated physical activity questionnaires both in India and abroad. In addition, 24 hour physical activity recalls encompassing a weekday and weekend were collected from 50 volunteers across all ages and occupations. From these 24 hr recalls, the various activities reported across all domains were listed in the MPAQ and similar activities were grouped together and further truncated based on the average energy cost, as the Physical Activity Ratio (PAR) provided by the WHO/FAO 2001 [7]. The MPAQ was designed to capture frequency and duration of habitual obligatory and discretional activities by means of a mix of open and closed-ended questions arranged in four domains viz. work-related activity (work domain), activities of daily living [general activity domain which includes sleep (daytime napping and sleep at night), personal care and domestic chores], transport-related activities (transport domain) and recreational activities (recreational domain). In all domains, options are provided to capture both seasonal and non-seasonal activities. The questionnaire captures details of up to two jobs and elicits information on time spent sitting, standing, walking and climbing stairs in each of these jobs, providing insight into the nature of the job and intensity of work activity. e24fc04721