{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T20:15:32Z","timestamp":1778616932924,"version":"3.51.4"},"reference-count":32,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders and Stroke","doi-asserted-by":"publisher","award":["R01NS100952"],"award-info":[{"award-number":["R01NS100952"]}],"id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders and Stroke","doi-asserted-by":"publisher","award":["1R41NS103698-01A1"],"award-info":[{"award-number":["1R41NS103698-01A1"]}],"id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007172","name":"Cincinnati Children's Hospital Medical Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007172","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006425","name":"NFL Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006425","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R03HD094560"],"award-info":[{"award-number":["R03HD094560"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006823","name":"Boston Children's Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006823","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jsams.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Science and Medicine in Sport"],"published-print":{"date-parts":[[2020,2]]},"DOI":"10.1016\/j.jsams.2019.08.294","type":"journal-article","created":{"date-parts":[[2019,9,7]],"date-time":"2019-09-07T11:01:45Z","timestamp":1567854105000},"page":"112-117","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":23,"title":["Exercise in the first week following concussion among collegiate athletes: Preliminary findings"],"prefix":"10.1016","volume":"23","author":[{"given":"David R.","family":"Howell","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna N.","family":"Brilliant","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessie R.","family":"Oldham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brant","family":"Berkstresser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"William P.","family":"Meehan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.jsams.2019.08.294_bib0005","doi-asserted-by":"crossref","first-page":"53","DOI":"10.2165\/00007256-200838010-00005","article-title":"The effect of sport concussion on neurocognitive function, self-report symptoms and postural control: a meta-analysis","volume":"38","author":"Broglio","year":"2008","journal-title":"Sports Med"},{"issue":"11","key":"10.1016\/j.jsams.2019.08.294_bib0010","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1136\/bjsports-2017-097699","article-title":"Consensus statement on concussion in sport\u2014the 5th international conference on concussion in sport held in Berlin, October 2016","volume":"51","author":"McCrory","year":"2017","journal-title":"Br J Sports Med"},{"issue":"5","key":"10.1016\/j.jsams.2019.08.294_bib0015","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1097\/JSM.0000000000000270","article-title":"Concussion management practice patterns among sports medicine physicians","volume":"26","author":"Stache","year":"2016","journal-title":"Clin J Sport Med"},{"issue":"23","key":"10.1016\/j.jsams.2019.08.294_bib0020","doi-asserted-by":"crossref","first-page":"2504","DOI":"10.1001\/jama.2016.17396","article-title":"Association between early participation in physical activity following acute concussion and persistent postconcussive symptoms in children and adolescents","volume":"316","author":"Grool","year":"2016","journal-title":"JAMA"},{"issue":"5","key":"10.1016\/j.jsams.2019.08.294_bib0025","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1136\/bjsports-2013-092313","article-title":"Consensus statement on concussion in sport: the 4th international conference on concussion in sport held in Zurich, November 2012","volume":"47","author":"McCrory","year":"2013","journal-title":"Br J Sports Med"},{"issue":"4","key":"10.1016\/j.jsams.2019.08.294_bib0030","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.1177\/0363546515625045","article-title":"Physical activity level and symptom duration are not associated after concussion","volume":"44","author":"Howell","year":"2016","journal-title":"Am J Sports Med"},{"issue":"2","key":"10.1016\/j.jsams.2019.08.294_bib0035","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1542\/peds.2014-0966","article-title":"Benefits of strict rest after acute concussion: a randomized controlled trial","volume":"135","author":"Thomas","year":"2015","journal-title":"Pediatrics"},{"issue":"4","key":"10.1016\/j.jsams.2019.08.294_bib0040","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1001\/jamapediatrics.2018.4397","article-title":"Early subthreshold aerobic exercise for sport-related concussion: a randomized clinical trial","volume":"173","author":"Leddy","year":"2019","journal-title":"JAMA Pediatr"},{"issue":"2","key":"10.1016\/j.jsams.2019.08.294_bib0045","doi-asserted-by":"crossref","first-page":"33","DOI":"10.3810\/psm.1997.02.1133","article-title":"Recognizing exercise-related headache","volume":"25","author":"McCrory","year":"1997","journal-title":"Phys Sportsmed"},{"issue":"1","key":"10.1016\/j.jsams.2019.08.294_bib0050","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1097\/JSM.0000000000000431","article-title":"Safety and prognostic utility of provocative exercise testing in acutely concussed adolescents: a randomized trial","volume":"28","author":"Leddy","year":"2018","journal-title":"Clin J Sport Med"},{"issue":"4","key":"10.1016\/j.jsams.2019.08.294_bib0055","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1007\/s11065-013-9238-1","article-title":"Are divided attention tasks useful in the assessment and management of sport-related concussion?","volume":"23","author":"Register-Mihalik","year":"2013","journal-title":"Neuropsychol Rev"},{"issue":"9","key":"10.1016\/j.jsams.2019.08.294_bib0060","doi-asserted-by":"crossref","first-page":"2135","DOI":"10.1007\/s10439-017-1856-y","article-title":"Sensor-based balance measures outperform modified Balance Error Scoring System in identifying acute concussion","volume":"45","author":"King","year":"2017","journal-title":"Ann Biomed Eng"},{"key":"10.1016\/j.jsams.2019.08.294_bib0065","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.gaitpost.2018.03.021","article-title":"Detecting gait abnormalities after concussion or mild traumatic brain injury: a systematic review of single-task, dual-task, and complex gait","volume":"62","author":"Fino","year":"2018","journal-title":"Gait Posture"},{"issue":"3","key":"10.1016\/j.jsams.2019.08.294_bib0070","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1002\/mds.21720","article-title":"The role of executive function and attention in gait","volume":"23","author":"Yogev-Seligmann","year":"2008","journal-title":"Mov Disord"},{"issue":"7","key":"10.1016\/j.jsams.2019.08.294_bib0075","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1002\/mds.20848","article-title":"Dual-tasking effects on gait variability: the role of aging, falls, and executive function","volume":"21","author":"Springer","year":"2006","journal-title":"Mov Disord"},{"issue":"2","key":"10.1016\/j.jsams.2019.08.294_bib0080","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1097\/HTR.0000000000000238","article-title":"Aerobic exercise for adolescents with prolonged symptoms after mild traumatic brain injury: an exploratory randomized clinical trial","volume":"32","author":"Kurowski","year":"2017","journal-title":"J Head Trauma Rehabil"},{"issue":"4","key":"10.1016\/j.jsams.2019.08.294_bib0085","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1097\/HTR.0b013e31826da964","article-title":"Exercise treatment for postconcussion syndrome: a pilot study of changes in functional magnetic resonance imaging activation, physiology, and symptoms","volume":"28","author":"Leddy","year":"2013","journal-title":"J Head Trauma Rehabil"},{"issue":"12","key":"10.1016\/j.jsams.2019.08.294_bib0090","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1136\/bjsports-2016-097475","article-title":"Rest and treatment\/rehabilitation following sport-related concussion: a systematic review","volume":"51","author":"Schneider","year":"2017","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.jsams.2019.08.294_bib0095","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1186\/1743-0003-11-85","article-title":"Increased frontal brain activation during walking while dual tasking: an fNIRS study in healthy young adults","volume":"11","author":"Mirelman","year":"2014","journal-title":"J Neuroengineering Rehabil"},{"issue":"4","key":"10.1016\/j.jsams.2019.08.294_bib0100","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0196062","article-title":"Earlier time to aerobic exercise is associated with faster recovery following acute sport concussion","volume":"13","author":"Lawrence","year":"2018","journal-title":"PloS One"},{"issue":"10","key":"10.1016\/j.jsams.2019.08.294_bib0105","doi-asserted-by":"crossref","first-page":"2375","DOI":"10.1177\/0363546512455400","article-title":"A revised factor structure for the post-concussion symptom scale: baseline and postconcussion factors","volume":"40","author":"Kontos","year":"2012","journal-title":"Am J Sports Med"},{"issue":"4","key":"10.1016\/j.jsams.2019.08.294_bib0110","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1249\/MSS.0000000000000462","article-title":"Return to activity after concussion affects dual-task gait balance control recovery","volume":"47","author":"Howell","year":"2015","journal-title":"Med Sci Sports Exerc"},{"issue":"23","key":"10.1016\/j.jsams.2019.08.294_bib0115","doi-asserted-by":"crossref","first-page":"3288","DOI":"10.1089\/neu.2017.5191","article-title":"The association between dual-task gait after concussion and prolonged symptom duration","volume":"34","author":"Howell","year":"2017","journal-title":"J Neurotrauma"},{"issue":"4","key":"10.1016\/j.jsams.2019.08.294_bib0120","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/j.apmr.2018.07.441","article-title":"Examining motor tasks of differing complexity after concussion in adolescents","volume":"100","author":"Howell","year":"2019","journal-title":"Arch Phys Med Rehabil"},{"issue":"4","key":"10.1016\/j.jsams.2019.08.294_bib0125","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1016\/j.jsams.2017.08.004","article-title":"The utility of instrumented dual-task gait and tablet-based neurocognitive measurements after concussion","volume":"21","author":"Howell","year":"2018","journal-title":"J Sci Med Sport"},{"issue":"3","key":"10.1016\/j.jsams.2019.08.294_bib0130","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1177\/1941738111403122","article-title":"Systematic review of the balance error scoring system","volume":"3","author":"Bell","year":"2011","journal-title":"Sports Health"},{"issue":"4","key":"10.1016\/j.jsams.2019.08.294_bib0135","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1249\/MSS.0000000000001829","article-title":"The role of aerobic exercise in reducing persistent sport-related concussion symptoms","volume":"51","author":"Howell","year":"2019","journal-title":"Med Sci Sports Exerc"},{"issue":"6","key":"10.1016\/j.jsams.2019.08.294_bib0140","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1227\/NEU.0000000000001447","article-title":"Statements of agreement from the targeted evaluation and active management (TEAM) approaches to treating concussion meeting held in Pittsburgh, October 15\u201316, 2015","volume":"79","author":"Collins","year":"2016","journal-title":"Neurosurgery"},{"issue":"18","key":"10.1016\/j.jsams.2019.08.294_bib0145","doi-asserted-by":"crossref","first-page":"1665","DOI":"10.1212\/WNL.0000000000000944","article-title":"Cerebrovascular regulation, exercise, and mild traumatic brain injury","volume":"83","author":"Tan","year":"2014","journal-title":"Neurology"},{"issue":"20","key":"10.1016\/j.jsams.2019.08.294_bib0150","doi-asserted-by":"crossref","first-page":"1627","DOI":"10.1212\/WNL.0b013e3181df0982","article-title":"Cerebrovascular hemodynamics, gait, and falls in an elderly population: MOBILIZE Boston Study","volume":"74","author":"Sorond","year":"2010","journal-title":"Neurology"},{"issue":"12","key":"10.1016\/j.jsams.2019.08.294_bib0155","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1136\/bjsm.2007.041665","article-title":"The effect of exercise on motor performance tasks used in the neurological assessment of sports-related concussion","volume":"42","author":"Schneiders","year":"2008","journal-title":"Br J Sports Med"},{"issue":"6","key":"10.1016\/j.jsams.2019.08.294_bib0160","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1097\/JSM.0b013e3181c12c7b","article-title":"The reliability of the modified balance error scoring system","volume":"19","author":"Hunt","year":"2009","journal-title":"Clin J Sport Med"}],"container-title":["Journal of Science and Medicine in Sport"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1440244019303445?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1440244019303445?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T19:29:53Z","timestamp":1778614193000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1440244019303445"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2]]},"references-count":32,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["S1440244019303445"],"URL":"https:\/\/doi.org\/10.1016\/j.jsams.2019.08.294","relation":{},"ISSN":["1440-2440"],"issn-type":[{"value":"1440-2440","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Exercise in the first week following concussion among collegiate athletes: Preliminary findings","name":"articletitle","label":"Article Title"},{"value":"Journal of Science and Medicine in Sport","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jsams.2019.08.294","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}