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Physical disability doubles hospitalization odds in older adults (OR: 2.13).

Disabled older adults are five times more likely to have ≥ 4 hospitalizations.

Findings highlight the need for policies to prevent disability in older populations.

Therapists believe in manual therapy mechanisms, partially supported by evidence.

Mechanisms include brain involvement, pain modulation, and placebo effects.

Sociodemographics are weakly associated with beliefs about manual therapy.

Perceived efficacy was related to men, hands-on time, biomechanics, and less placebo.