{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:02:19Z","timestamp":1777942939595,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"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"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R21HD100897"],"award-info":[{"award-number":["R21HD100897"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neurorehabil Neural Repair"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Mild traumatic brain injury (mTBI) can lead to persistent balance impairments, affecting daily functioning. While mTBI deficits in static and dynamic balance are well-documented, reactive balance\u2014essential for recovering from perturbations\u2014remains understudied, and the relationship with symptom severity and quality of life remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Examine reactive balance across different stages of mTBI recovery and its association with self-reported symptoms and quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This cross-sectional study included 82 participants: 19 with acute (4-14\u2009days post-injury), 11 with sub-acute (3-12\u2009weeks post-injury), 11 with chronic (&gt;12\u2009weeks post-injury) mTBI, and 41 healthy controls. Reactive balance was assessed using the Instrumented-modified Push and Release under both single and cognitive dual-task conditions, measuring time to stability and step latency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Participants with acute mTBI had longer step latencies (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.004 single-task;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.016 dual-task) but no differences in time to stability compared to controls, while people with chronic mTBI exhibited longer time to stability (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.004 single-task;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.017 dual-task) but no difference in step latencies compared to controls. Dizziness and total symptom severity were moderately associated with single- and dual-task time to stability and dual-task step latency acutely, and with single-task time to stability and dual-task step latency in the sub-acute phase.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Reactive balance deficits persist chronically after mTBI and differ between people with acute, sub-acute, and chronic symptoms. These differences suggest people with chronic symptoms may prioritize different aspects of balance control compared to the people in the acute stage of recovery related to functional adaptations to self-reported symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15459683251412303","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T01:59:36Z","timestamp":1769479176000},"page":"357-367","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Reactive Balance Deficits Differ in People After Mild Traumatic Brain Injury Based on Chronicity of Self-Reported Symptoms"],"prefix":"10.1177","volume":"40","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":"Paula K.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Rocky Mountain University of Health Professions, Provo, 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":"Ryan M.","family":"Pelo","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\/0000-0001-8553-7867","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; 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