Danielle Levac is a physiotherapist and associate professor in the School of Rehabilitation Sciences at the University of Montreal. She is a researcher at the CHU Sainte-Justine Azrieli Research Centre where she leads the Musculoskeletal Health, Rehabilitation, and Medical Technologies Axis. She is Scientific Director of the Technopole in Pediatric Rehabilitation, located at the Marie Enfant Rehabilitation Centre, where she leads the “Laboratoire d’innovations numériques, polytechniques et interactives en réadaptation pour enfants (LaboINSPIRE).” Her research activities focus on collaborating with clinicians and families to promote the sustainable, evidence-based integration of interactive technologies in pediatric rehabilitation.

Despite growing evidence for XR in rehabilitation, sustained integration into clinical practice remains the exception rather than the rule. This keynote examines why adoption alone is an insufficient measure of success, drawing on implementation science frameworks and real-world experience to identify what it takes to move from enthusiastic uptake to embedded use. The presentation will map the terrain ahead to make the case that sustainability must become the field’s next shared priority.