Despite medical recommendations for increased physical activity and exercise, adolescents with JFM often lapse into a self-propagating cascade of inactivity, physical deconditioning and increasing reluctance to initiate exercise. Compounding these factors, adolescents with JFM without preparatory conditioning are likely to be more prone to pain flare-ups when they do start to engage in physical activity. Dr. Myer will present on how fear of movement is associated with altered biomechanics that may increase susceptibility to further pain and injury. Neuromuscular training is an exercise approach that has been highly effective for injury prevention and safe reintegration to high demand physical activity. Dr. Myer will discuss the translation of his work from sports medicine and sport performance adapted to help adolescents with JFM to master fundamental movement skills, improve movement mechanics and gain confidence in their physical abilities. Critical considerations for neuromuscular training in JFM include 1) minimizing delayed onset muscle soreness following resistive exercise and 2) incorporating intermittent-type activities which are more consistent with how healthy youth move and play. He will discuss the biomechanical and physiological principles that are foundational to building psychological and physical skills for youth to have greater confidence, lower disability, pain and improved quality of life.