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Implementation science methods can bridge the 17 year research-practice gap in infant neuromotor developmentClosing the 17 year gap in infant physical therapy care

AI-generated summary of the cited source, checked by automated accuracy review. How we work

Key Takeaway
Consider implementation science methods to bridge the 17 year gap between evidence discovery and clinical care.

This perspective piece addresses the significant research-practice gap in pediatric rehabilitation, specifically noting an average delay of 17 years between the discovery of evidence and its integration into clinical care for infants with neuromotor development delays. The authors argue that this gap hinders the timely delivery of effective interventions.

To address this, the authors propose using implementation science methods to operationalize clinical-research concepts. Proposed strategies include flexible dosage delivery, adaptation of existing resources, structured stakeholder review, standardized training protocols, and systematic fidelity monitoring. These methods are intended to create a scalable framework for translating evidence into routine practice.

While the piece does not provide primary clinical outcome data, it highlights a specific methodology to improve the reach of evidence-based practices. The practical relevance lies in the potential to improve the consistency and reach of physical therapy for infants. However, as a perspective piece, the findings are conceptual rather than based on a primary trial or systematic review of clinical outcomes.

Imagine a child with a motor delay. They need help now, but the best ways to help them might be stuck in a lab. This is the reality of the research-practice gap. Currently, it takes an average of 17 years for new medical evidence to actually reach the clinic and become part of standard care.

To fix this, experts suggest using implementation science. This approach focuses on making it easier for doctors and therapists to use what they know. Instead of just finding new treatments, this method focuses on how to deliver those treatments reliably, using standard training and better ways to track how care is delivered.

This perspective highlights a way to turn research into a scalable plan for infants. By using structured reviews and flexible ways to deliver therapy, the goal is to get proven methods into the hands of providers much faster. This ensures that infants with neuromotor development delays get the best possible care sooner.

What this means for you:
It takes 17 years for new research to reach clinical care, but new methods can help close this gap.

Common questions

Why does it take so long to use new treatments for infants?

There is currently an average delay of 17 years between the time a new piece of evidence is discovered and the time it is actually integrated into clinical care. This gap makes it difficult for patients to access the latest improvements in therapy for neuromotor development delays.

How can doctors get new treatments to patients faster?

Using implementation science can help. This involves using structured training, systematic monitoring, and adapting existing resources to make it easier for clinics to turn research into practical, scalable treatments for infants.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedOct 2026
View Original Abstract ↓
The well-documented research–practice gap in healthcare typically results in an average delay of 17 years between evidence discovery and clinical care integration. This perspective article describes the application of implementation science methods to operationalize new clinical-research concepts into a scalable early physical therapy intervention supporting infant neuromotor development. Through flexible dosage delivery, adaptation of existing resources, structured stakeholder review, standardized training protocols, and systematic fidelity monitoring, we created this intervention for efficient dissemination and uptake. Using a case example, we also demonstrate effective implementation of our clinical-research concepts and suggest that the use of these specific processes of embedding implementation science tenets within trial design may help narrow the research–practice gap across disciplines.
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