reactive neuromuscular exercises

One of the most controversial and confusing muscles to discuss is the vastus medialis oblique, otherwise known as the VMO. We know that this muscle plays a critical role in providing stability of the knee and prevents the onset of patella tracking problems that are so common among people of all ages. However, there is so much conflicting research and information about the best way to strengthen this muscle that many people are confused as to where to start. The problem with most of the research is that it looks at strengthening the muscle in isolation, ignoring the role of other anatomical factors contributing to the VMO weakness. Factors such as tibial torsion, valgus knee collapse due to poor hip muscle control, poor foot stability creating over-pronation, and ankle stiffness inhibiting quadriceps strength need to be addressed if you truly want to strengthen the VMO and stabilize the knee. And arguably the best way to do this is using what are referred to as “reactive neuromuscular training” exercises, where you use creative methods to isolate a specific muscle within an integrated movement. It sounds complicated, but really it is very simple when you understand how the body uses compensation to avoid pain. In this article, I will show you several versions I like to use to help stabilize the knee.

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