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Outcomes and Survival

This excerpt was created in the absence of an abstract.

A pebble rolling down a hill can easily be studied. Even from the perspective of one who stands before the pebble, the forces that set it in motion and the path that it takes can be considered, the anomalous bounces contemplated. The absence of danger provides the observer with time for reflection. When one stands before a rolling boulder, however, contemplation goes out the window, and action—or, more correctly, reaction— becomes the imperative.

For three quarters of a century, visionaries in physical therapy beseeched us to contemplate our pebbles and cautioned us about the coming boulders. These visionaries were talking about the need for evidence-based practice, for a scientific basis for our treatment. They observed how each year there was a greater need for data and evidence, and they warned us that time was not on our side....

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