The purpose of this study was to analyse the activity of the vastus medialis oblique (VMO) muscle electromyographically during free isotonic and maximal isometric contraction of the hip adduction with knee extension performing exercises at sitting and in decubitus lateralis positions. Using a 8 channels Nicolet Electromyograph and Beckman surface mini electrodes, the activity of the vastus medialis oblique muscle was recorded among 15 healthy subjects, aged 19 to 33 years, (mean = 24.4, SD = 4.1) without prior knee and hip joints pathology. The sign was recorded in root mean square (RMS), expressed in microvolts. The data were statistically calculated employing an analysis of variance (ANOVA) and the Tukey test, at 5% of significance. The results showed that the electromyographic (EMG) activity of the vastus medialis oblique muscle was significantly greater in both exercises of maximal contraction when compared with free isotonic at decubitus lateralis. On the other hand, there was no significant difference of the electromyographic activity of the vastus medialis oblique muscle between the two exercises of maximal isometric contraction. These findings, within the experimental conditions used, suggest that prior stages of patellofemoral dysfunction, the exercises of hip adduction with knee extension could be performed isometrically or isotonically, at sitting and in decubitus lateralis positions, depending on the biological conditions of each patient.