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Safety of Physical Activity After Cervical Artery Dissection
Lukas Mayer-Suess1, Josefin Kaufmann2,3, Christopher Traenka2,3,4
1Department of Neurology, Medical University of Innsbruck, Innsbruck, Tyrol, Austria.
European Journal of Neurology
|February 25, 2026
Summary
Patients with cervical artery dissection (CeAD) can safely resume physical activity. While overall activity changes pose no increased risk, high-intensity sports may trend towards dissection recurrence, warranting personalized discussion.
Area of Science:
- Neurology
- Cardiovascular Research
- Sports Medicine
Background:
- Cervical artery dissection (CeAD) is a leading cause of stroke in young adults.
- CeAD is often linked to minor cervical trauma, frequently sports-related.
- The study investigates the safety of physical activity post-CeAD.
Purpose of the Study:
- To assess the risk of recurrent dissection and cerebral ischemia in CeAD patients who resume physical activity.
- To determine if changes in physical activity levels impact outcomes after CeAD.
Main Methods:
- Pooled data from two prospective observational CeAD cohorts with at least 1-year follow-up.
- Patient-reported changes in physical activity and Baecke score-derived sports index were used.
- Outcomes included recurrent dissection and cerebral ischemia.
Main Results:
- Of 333 patients with activity data, 59.2% reported activity changes post-CeAD.
- Neither overall activity changes nor increases/decreases were associated with recurrent CeAD or ischemia.
- Higher-intensity sports showed a trend towards increased dissection recurrence risk (p=0.080).
Conclusions:
- Resuming physical activity after CeAD is generally safe.
- Patients can be reassured about returning to exercise.
- Individualized counseling regarding exertion levels is recommended.
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