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The "fourth pillar" of fitness alongside cardio, strength, and flexibility — training balance, agility, coordination, and gait so the nervous system controls movement well, not just the muscles producing it.
Neuromotor fitness (also called functional fitness training) is the ACSM-recognized component of fitness that targets the nervous system's control of movement rather than energy systems or muscle force alone. ACSM added neuromotor exercise as a distinct recommended training component in its 2011 position stand and 2014 guidance, making it the fourth pillar alongside cardiorespiratory (cardiorespiratory-guidelines / *), resistance, and flexibility (flexibility-guidelines-acsm) training.
It encompasses:
The principal benefits are improved physical function and reduced fall risk, with the strongest evidence in older adults (see fall-prevention-overview). ACSM recommends neuromotor exercise 2–3 days per week (see neuromotor-acsm-recommendation). Because it trains motor control (motor-control) rather than tissue capacity, neuromotor work is highly task-specific: improvement transfers best to tasks resembling those trained.
Educational content only — not medical advice. Always consult a qualified professional for individualized guidance, especially around injury, pregnancy, or medical conditions.