{"id":{"repo_id":"york","oai_identifier":"oai:yorkspace.library.yorku.ca:10315/43274"},"canonical_url":"https://search.dev.ndltd.org/etd/york/oai:yorkspace.library.yorku.ca:10315/43274","repository":{"repo_id":"york","name":"York University","base_url":"https://yorkspace.library.yorku.ca/oai/request"},"display":{"title":"Concussion Recovery and Skilled Performance in Working-Aged Adults: Sex Differences in the Neural Correlates of Persisting Symptoms After Concussion","abstract":"Cognitive-motor integration (CMI) refers to the ability to follow rules that guide perception and action. Following a concussion, CMI neural networks are often disrupted, impairing complex movement. We previously identified links between white matter integrity and visuomotor performance in working-age adults with persistent post-concussion symptoms (PPCS). We investigated the impact of sex, age, and CMI processes on visuomotor performance in PPCS. Forty-two adults (47.5 ± 9.87 years; 25 females, 17 males) completed a direct hand-to-target task and an indirect CMI task (plane-change and feedback reversal). Symptom severity, dizziness, cortical volumes and thickness, and resting-state functional connectivity (RSFC) were assessed. Females demonstrated slower CMI task performance, reduced cortical volume (left cuneus and superior frontal), thinner cortex (left precuneus), greater RPQ-3 symptom severity, and lower RSFC across multiple brain networks. Regression showed female sex and older age predicted poorer CMI performance. Findings highlight sex- and age-related neural factors underlying post-concussion motor deficits.","abstract_html":"Cognitive-motor integration (CMI) refers to the ability to follow rules that guide perception and action. Following a concussion, CMI neural networks are often disrupted, impairing complex movement. We previously identified links between white matter integrity and visuomotor performance in working-age adults with persistent post-concussion symptoms (PPCS). We investigated the impact of sex, age, and CMI processes on visuomotor performance in PPCS. Forty-two adults (47.5 ± 9.87 years; 25 females, 17 males) completed a direct hand-to-target task and an indirect CMI task (plane-change and feedback reversal). Symptom severity, dizziness, cortical volumes and thickness, and resting-state functional connectivity (RSFC) were assessed. Females demonstrated slower CMI task performance, reduced cortical volume (left cuneus and superior frontal), thinner cortex (left precuneus), greater RPQ-3 symptom severity, and lower RSFC across multiple brain networks. Regression showed female sex and older age predicted poorer CMI performance. Findings highlight sex- and age-related neural factors underlying post-concussion motor deficits.","abstract_has_math":false,"creators":["Bumra, Kiran Kaur"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Sergio, Lauren E."],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025-11-11","date_published":"2025-11-11","updated_at":"2026-07-24T06:33:34Z","subjects":["Psychology","Kinesiology"],"languages":["en"],"rights":["Author owns copyright, except where explicitly noted. Please contact the author directly with licensing requests."],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/10315/43274","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Sergio, Lauren E."]},{"key":"dc:creator","label":"Author","values":["Bumra, Kiran Kaur"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2025-11-11T20:01:01Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2025-11-11T20:01:01Z"]},{"key":"dc:date.issued","label":"Date","values":["2025-11-11"]},{"key":"dc:type","label":"Dc Type","values":["Electronic Thesis or Dissertation"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Psychology","Kinesiology"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Author owns copyright, except where explicitly noted. Please contact the author directly with licensing requests."]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/10315/43274"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Cognitive-motor integration (CMI) refers to the ability to follow rules that guide perception and action. Following a concussion, CMI neural networks are often disrupted, impairing complex movement. We previously identified links between white matter integrity and visuomotor performance in working-age adults with persistent post-concussion symptoms (PPCS). We investigated the impact of sex, age, and CMI processes on visuomotor performance in PPCS. Forty-two adults (47.5 ± 9.87 years; 25 females, 17 males) completed a direct hand-to-target task and an indirect CMI task (plane-change and feedback reversal). Symptom severity, dizziness, cortical volumes and thickness, and resting-state functional connectivity (RSFC) were assessed. Females demonstrated slower CMI task performance, reduced cortical volume (left cuneus and superior frontal), thinner cortex (left precuneus), greater RPQ-3 symptom severity, and lower RSFC across multiple brain networks. Regression showed female sex and older age predicted poorer CMI performance. Findings highlight sex- and age-related neural factors underlying post-concussion motor deficits."]},{"key":"dc:title","label":"Title","values":["Concussion Recovery and Skilled Performance in Working-Aged Adults: Sex Differences in the Neural Correlates of Persisting Symptoms After Concussion"]}]}],"canonical_facts":{"dc:contributor.advisor":["Sergio, Lauren E."],"dc:creator":["Bumra, Kiran Kaur"],"dc:date.accessioned":["2025-11-11T20:01:01Z"],"dc:date.available":["2025-11-11T20:01:01Z"],"dc:date.issued":["2025-11-11"],"dc:description.abstract":["Cognitive-motor integration (CMI) refers to the ability to follow rules that guide perception and action. Following a concussion, CMI neural networks are often disrupted, impairing complex movement. We previously identified links between white matter integrity and visuomotor performance in working-age adults with persistent post-concussion symptoms (PPCS). We investigated the impact of sex, age, and CMI processes on visuomotor performance in PPCS. Forty-two adults (47.5 ± 9.87 years; 25 females, 17 males) completed a direct hand-to-target task and an indirect CMI task (plane-change and feedback reversal). Symptom severity, dizziness, cortical volumes and thickness, and resting-state functional connectivity (RSFC) were assessed. Females demonstrated slower CMI task performance, reduced cortical volume (left cuneus and superior frontal), thinner cortex (left precuneus), greater RPQ-3 symptom severity, and lower RSFC across multiple brain networks. Regression showed female sex and older age predicted poorer CMI performance. Findings highlight sex- and age-related neural factors underlying post-concussion motor deficits."],"dc:identifier.uri":["https://hdl.handle.net/10315/43274"],"dc:language":["en"],"dc:rights":["Author owns copyright, except where explicitly noted. Please contact the author directly with licensing requests."],"dc:subject":["Psychology","Kinesiology"],"dc:title":["Concussion Recovery and Skilled Performance in Working-Aged Adults: Sex Differences in the Neural Correlates of Persisting Symptoms After Concussion"],"dc:type":["Electronic Thesis or Dissertation"]},"updated_at":"2026-07-24T06:33:34Z"}