{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:02:01Z","timestamp":1777942921477,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000097","name":"National Center for Research Resources","doi-asserted-by":"publisher","award":["UL1TR002538"],"award-info":[{"award-number":["UL1TR002538"]}],"id":[{"id":"10.13039\/100000097","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":["K12HD073945"],"award-info":[{"award-number":["K12HD073945"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Pac-12 Conference\u2019s Student-Athlete Health and Well-Being Initiative","award":["#5-04 Pac-12-Utah-Fino-19-01"],"award-info":[{"award-number":["#5-04 Pac-12-Utah-Fino-19-01"]}]},{"name":"Pac-12 Conference\u2019s Student-Athlete Health and Well-Being Initiative","award":["#9-01 Pac-12-Utah-Fino-23-01"],"award-info":[{"award-number":["#9-01 Pac-12-Utah-Fino-23-01"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neurorehabil Neural Repair"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Postural instability is a common observation after concussions, with balance assessments playing a crucial role in clinical evaluations. Widely used post-concussion balance tests focus primarily on static and dynamic balance, excluding the critical aspect of reactive balance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study investigated the acute and longitudinal effects of concussion on reactive balance in collegiate athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Concussed and healthy matched controls NCAA division I athletes were assessed at pre-season baseline and 4 post-concussion timepoints: acute, pre-return-to-play (RTP), post-RTP, and 6\u2009months post-concussion. The instrumented-modified Push and Release test measured reactive balance during single- and dual-task conditions. Longitudinal effects of concussions on time to stability and step latency metrics were investigated applying Generalized Estimating Equations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Acutely after concussion, athletes demonstrated impaired reactive balance, indicated by longer times to stability, in dual-task conditions (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.004). These acute impairments were transient and recovered over time. Exploratory analyses revealed that athletes who sustained their first lifetime concussion exhibited both acute (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.037) and longitudinal (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.004 at post-RTP) impairments in single- and dual-task compared to controls with no lifetime concussion.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This comprehensive evaluation provides insights into the multifaceted nature of post-concussion impairments and emphasizes the importance of considering cognitive demand and history of concussions in assessing athletes\u2019 balance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15459683241309569","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T00:48:01Z","timestamp":1736297281000},"page":"263-273","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Acute and Longitudinal Effects of Concussion on Reactive Balance in Collegiate Athletes"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2033-0619","authenticated-orcid":false,"given":"Cecilia","family":"Monoli","sequence":"first","affiliation":[{"name":"Department of Health &amp; Kinesiology, University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda J.","family":"Morris","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, California State University Sacramento, Sacramento, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regan","family":"Crofts","sequence":"additional","affiliation":[{"name":"Department of Health &amp; Kinesiology, University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nora F.","family":"Fino","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Epidemiology, University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tessa L.","family":"Petersell","sequence":"additional","affiliation":[{"name":"Department of Health &amp; Kinesiology, University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trevor","family":"Jameson","sequence":"additional","affiliation":[{"name":"Department of Athletic Training, University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8553-7867","authenticated-orcid":false,"given":"Leland E.","family":"Dibble","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Athletic Training, University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8621-3706","authenticated-orcid":false,"given":"Peter C.","family":"Fino","sequence":"additional","affiliation":[{"name":"Department of Health &amp; Kinesiology, University of Utah, Salt Lake City, UT, USA"},{"name":"Department of Physical Therapy and Athletic Training, University of Utah, Salt Lake City, UT, USA"},{"name":"Department of Mechanical Engineering, University of Utah, Salt Lake City, UT, USA"},{"name":"Department of Biomedical Engineering, University of Utah, Salt Lake City, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000720"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20080071"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afl077"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/Htr.0000000000000761"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1191\/0269215500cr342oa"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnagi.2021.764826"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2023.01.003"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.14802\/jmd.16062"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1152\/jn.2002.88.3.1097"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00702-007-0764-y"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00702-007-0657-0"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-0231.22"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2015.08.012"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097699"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.3389\/fspor.2020.574848"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.2021-0229"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/pri.1615"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2017.01.030"},{"issue":"1","key":"e_1_3_3_20_2","first-page":"70","article-title":"A compendium of neuropsychological tests: administration, norms, and commentary","volume":"35","author":"Wolf S.","year":"2000","unstructured":"Wolf S. A compendium of neuropsychological tests: administration, norms, and commentary. Integr Phys Beh Sci. 2000;35(1):70-71.","journal-title":"Integr Phys Beh Sci"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/73.1.13"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-0403.23"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2018.01.025"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2019.6910"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.21720"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1037\/h0031333"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1249\/Mss.0000000000002385"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-100164"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0096440"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1152\/jn.1986.55.6.1369"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1080\/13803395.2021.1879735"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/1545968320943578"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-020-01281-0"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2021.105496"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2022.897454"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/63.12.1370"},{"issue":"4","key":"e_1_3_3_37_2","first-page":"446","article-title":"On-field testing environment and balance error scoring system performance during preseason screening of healthy collegiate baseball players","volume":"42","author":"Onate JA","year":"2007","unstructured":"Onate JA, Beck BC, Van Lunen BL. On-field testing environment and balance error scoring system performance during preseason screening of healthy collegiate baseball players. J Athl Train. 2007;42(4):446-451.","journal-title":"J Athl Train"}],"container-title":["Neurorehabilitation and Neural Repair"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15459683241309569","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15459683241309569","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15459683241309569","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:10:48Z","timestamp":1777705848000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15459683241309569"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,7]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/15459683241309569"],"URL":"https:\/\/doi.org\/10.1177\/15459683241309569","relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2024.03.28.24305029","asserted-by":"object"}]},"ISSN":["1545-9683","1552-6844"],"issn-type":[{"value":"1545-9683","type":"print"},{"value":"1552-6844","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,7]]}}}