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Question: Does parent-administered physiotherapy improve motor performance in medically stable preterm infants? Design: Randomised, controlled, multicentre trial with concealed allocation and blinded assessment. Setting: Three tertiary hospitals in Norway. Participants: [7_TD$DIFF]Eligible infants [8_TD$DIFF]had a gestational age 32 weeks [9_TD$DIFF]and tolerated handling at 34 weeks postmenstrual age. Triplets, infants with malformations or syndromes [10_TD$DIFF], and infants after major surgery were excluded. Randomisation of 153 participants allocated 74 to parent-administered physiotherapy and 79 to a usual care control group. Interventions: Both groups received standard medical and nursing care. In addition, the intervention group received parent-administered physiotherapy for 10 minutes, twice a day, for 3 weeks when the infants were 34 to 36 weeks postmenstrual age. Therapy aimed to improve postural control, head control and midline orientation. One parent in each family was taught to administer the therapy during three consultations with a physiotherapist over 1 week. Parents received a booklet containing photos and instructions of activities. Therapy was individualised based on each infant’s level of development and tolerance for movement, and included at least one activity in each of four positions (prone, supine, side-lying, supported sitting) and one activity in transition between positions. Therapy also aimed to

Three weeks of parent-administered physiotherapy for very preterm infants improves motor performance at 37 weeks more than usual care [synopsis]