Neuromuscular Exercise (NEMEX)

This site provides examples of exercises designed to manage hip and knee osteoarthritis. The exercises include various levels of progressions, which have been carefully designed and tested by researchers and clinicians.

The exercise videos provided have been based on the NEMEX program to help promote independence. It is recommended you seek appropriate guidance from a physiotherapist or other suitably qualified health professional to ensure you perform exercises of appropriate level for you, and with good quality. Such supervision and guidance will optimise the chance of exercise helping to improve you management of hip and knee pain.


Key facts about NEMEX for hip and knee osteoarthritis

  • Feasible in patients with severe hip and knee joint replacement surgery
  • Forms part of successful implementation program for people with hip and knee osteoarthritis – GLA:D™ – program developed by Ewa Roos and Soren Skou
  • Improves pain, function and quality of life
  • Associated with reduction in use of analgesia and sick days from work
  • Program developers include Eva AgebergAnne Link and Ewa Roos

See key publications tab for further details



These resources are not intended to serve as a prescribed standard of medical care. Standards of care are determined on the basis of all clinical data available for an individual patient and are subject to change as scientific knowledge and technology advance and patterns of care evolve.  These resources have been developed to inform practice and should be considered guidance only.  Following advice on this site will not ensure a successful outcome in every patient, nor should it be construed as including all proper methods of care or excluding other acceptable methods of care aimed at the same results.  The ultimate judgment regarding a particular clinical procedure or treatment plan must be made by the clinician, based on clinician experience, expertise and in light of the clinical presentation of the patient, the available evidence, available diagnostic and treatment options, and the patient’s values, expectations, and preferences.