{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T22:53:39Z","timestamp":1774565619162,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004061","name":"Oesterreichische Nationalbank","doi-asserted-by":"publisher","award":["15644"],"award-info":[{"award-number":["15644"]}],"id":[{"id":"10.13039\/501100004061","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004955","name":"\u00d6sterreichische Forschungsf\u00f6rderungsgesellschaft","doi-asserted-by":"publisher","award":["898252"],"award-info":[{"award-number":["898252"]}],"id":[{"id":"10.13039\/501100004955","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cervical artery dissection (CeAD) is a major cause for stroke in young adults. A timely association with minor\u2010to\u2010moderate unimposing cervical trauma, which is often sports\u2010related, is common in CeAD. Our goal was to assess whether physical activity puts patients at risk post\u2010CeAD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Pooled data from two prospective observational CeAD cohorts with in\u2010person follow\u2010up of at least 1\u2010year post\u2010CeAD were assessed. Changes in physical activity were recorded using patient\u2010reported assessment of change in activity compared to pre\u2010CeAD. Baecke score\u2010derived sports index was applied to address the association between physical activity intensity and our outcomes. Outcomes were (1) recurrent dissection and (2) cerebral ischemia upon follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 648 CeAD patients were recorded. Physical activity\u2010specific follow\u2010up data were available in 333 (59.7%). The median follow\u2010up duration was 6.5 (IQR 3.1, 10.9) years with 17\/333 (5.1%) suffering CeAD recurrence and 22\/33#3 (6.6%) experiencing cerebral ischemia. A total of 197 of 333 (59.2%) patients reported a change in physical activity post\u2010CeAD (127 [64.5%] decrease, 70 [35.5%] increase). Neither overall change, increase, or decrease of physical activity was associated with recurrent CeAD or cerebral ischemia (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.2 throughout). However, regular performance of higher\u2010intensity sports, assessed via Baecke score\u2010derived sports index, associated in trend to dissection recurrence (OR 3.43 [0.86, 13.64];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.080).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions.<\/jats:title>\n                    <jats:p>CeAD patients should be reassured that regaining physical activity after CeAD is safe. However, moderation on exertion should be discussed on an individual patient basis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ene.70548","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T14:14:31Z","timestamp":1772979271000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety of Physical Activity After Cervical Artery Dissection"],"prefix":"10.1111","volume":"33","author":[{"given":"Lukas","family":"Mayer\u2010Suess","sequence":"first","affiliation":[{"name":"Department of Neurology Medical University of Innsbruck  Innsbruck Tyrol Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7744-2796","authenticated-orcid":false,"given":"Josefin","family":"Kaufmann","sequence":"additional","affiliation":[{"name":"Department of Neurology and Stroke Centre University Hospital Basel and University of Basel  Basel 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