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Improving the Evidence Base for Physical Therapy Disability Interventions

Disability is an emerging global issue, as reflected by the first joint World Health Organization (WHO)–World Bank Report on Disability, Rehabilitation, and Inclusion, scheduled to be released by WHO in 2010. Some estimates suggest that 10% of the world's population has some form of disability—but that figure excludes the families who are affected by a member's disability.1 According to 2005 US Census Bureau statistics, 54 million (18.7%) people in the United States have some level of disability.2 That number will grow significantly over the next 20 years as the baby-boom generation enters late life, when the risk of disability is greatest.

People with disabilities comprise the largest and arguably the most important health care consumer group in the United States; however, as the Institute of Medicine and others have warned,3,4 far too little progress has been made over the past 2 decades in removing obstacles that limit what many people with physical and cognitive …