{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T08:20:58Z","timestamp":1782289258624,"version":"3.54.5"},"reference-count":61,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T00:00:00Z","timestamp":1687910400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sports Health: A Multidisciplinary Approach"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>After a concussion, there are unique associations between static balance and landing with cognition. Previous research has explored these unique correlations, but the factor of time, dual-task, and different motor tasks leave gaps within the literature. The purpose of this study was to determine the associations between cognition and tandem gait performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis:<\/jats:title>\n                    <jats:p>We hypothesized that athletes with a concussion history would display stronger associations compared with athletes without a concussion history between cognition and tandem gait.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cross-sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 126 athletes without (56.3% female; age, 18.8 \u00b1 1.3 years; height, 176.7 \u00b1 12.3 cm; mass, 74.8 \u00b1 19.0 kg) and 42 athletes with (40.5% female; age, 18.8 \u00b1 1.3 years; height, 179.3 \u00b1 11.9 cm; mass, 81.0 \u00b1 25.1 kg) concussion history participated. Cognitive performance was assessed with CNS Vital Signs. Tandem gait was performed on a 3-meter walkway. Dual-task tandem gait included a concurrent cognitive task of serial subtraction, reciting months backward, or spelling words backward.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Athletes with a concussion history exhibited a larger number of significant correlations compared with athletes without a concussion history for cognition and dual-task gait time (4 significant correlations: rho-range, -0.377 to 0.358 vs 2 significant correlations: rho, -0.233 to 0.179) and dual-task cost gait time (4 correlations: rho range, -0.344 to 0.392 vs 1 correlation: rho, -0.315). The time between concussion and testing did significantly moderate any associations ( P = 0.11-0.63). Athletes with a concussion history displayed better dual-task cost response rate ( P = 0.01). There were no other group differences for any cognitive ( P = 0.13-0.97) or tandem gait ( P = 0.20-0.92) outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Athletes with a concussion history display unique correlations between tandem gait and cognition. These correlations are unaffected by the time since concussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>These unique correlations may represent shared neural resources between cognition and movement that are only present for athletes with a concussion history. Time does not influence these outcomes, indicating the moderating effect of concussion on the correlations persists long-term after the initial injury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19417381231183413","type":"journal-article","created":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T07:18:01Z","timestamp":1687936681000},"page":"542-550","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Cognition Uniquely Influences Dual-Task Tandem Gait Performance Among Athletes With a Concussion History"],"prefix":"10.1177","volume":"16","author":[{"given":"Eric J.","family":"Shumski","sequence":"first","affiliation":[{"name":"UGA Concussion Research Laboratory, Department of Kinesiology, University of Georgia, Athens, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9363-1391","authenticated-orcid":false,"given":"Julianne D.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"UGA Concussion Research Laboratory, Department of Kinesiology, University of Georgia, Athens, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0785-6640","authenticated-orcid":false,"given":"Robert C.","family":"Lynall","sequence":"additional","affiliation":[{"name":"UGA Concussion Research Laboratory, Department of Kinesiology, University of Georgia, Athens, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,6,28]]},"reference":[{"key":"bibr1-19417381231183413","volume-title":"StatPearls","author":"Ataullah AHM","year":"2022"},{"key":"bibr2-19417381231183413","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211032246"},{"key":"bibr3-19417381231183413","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-021-01527-5"},{"key":"bibr4-19417381231183413","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA121035607"},{"key":"bibr5-19417381231183413","doi-asserted-by":"publisher","DOI":"10.1097\/JES.0b013e3182524273"},{"key":"bibr6-19417381231183413","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2018.5643"},{"key":"bibr7-19417381231183413","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-18565-7"},{"key":"bibr8-19417381231183413","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-100164"},{"key":"bibr9-19417381231183413","doi-asserted-by":"publisher","DOI":"10.1080\/16501960410023732"},{"key":"bibr10-19417381231183413","unstructured":"CNS Vital Signs - FAQs. https:\/\/www.cnsvs.com\/FAQs.html. 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