The formation and evolution of young star clusters and OB associations is fundamental to our understanding of the star formation process, the conditions faced by young binary and planetary systems, and the formation of long-lived open and globular clusters. Despite this our understanding of the physical processes that drive this evolution has been limited by the static nature of most observations. This is all changing thanks to a revolution in kinematic data quality from large-scale radial velocity surveys and new astrometric facilities such as {\it Gaia}. Here I summarise recent studies of multiple OB associations from both {\it Gaia} and ground-based astrometric surveys. These observations show that OB associations have considerable kinematic substructure and no evidence for the radial expansion pattern predicted by theories such as residual gas expulsion. 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