Purpose: Symptom scores commonly measured following concussion were compared between male and female adolescents with (Hx+) and without (Hx−) a history of concussion, pre and post physical exertion testing. Methods: Eighty (males [n = 60; Hx+ = 19], female [n = 20; Hx+ = 5]) high school students (ages 15–17 y) completed the Buffalo Concussion Treadmill Test once and the modified shuttle run test twice. Symptom scores were collected using the 22-point Symptom Evaluation Scale on the Sport Concussion Assessment Tool (version 5) immediately pre and post physical exertion testing. Results: The symptoms most reported during preexertional testing were fatigue/low energy, feeling slowed down, and nervous/anxious, whereas feeling slowed down, fatigue/low energy, “pressure in head” (males only), and headache (females only) were most frequently reported during postexertion testing. Conclusion: An understanding of the common exertion-related symptoms at baseline in a laboratory or field-based setting in adolescents may be advantageous for clinicians as they manage individual recovery postconcussion. This is particularly important during an adolescent’s recovery and return to play when exertional testing may be implemented, especially since symptoms were reported pre and post exertional testing in both males and females regardless of concussion history.

目的：比较有 (Hx+) 和无 (Hx−) 脑震荡史、体力消耗前后测试的男性和女性青少年脑震荡后通常测量的症状评分。方法： 80 名（男性 [n = 60；Hx+ = 19]，女性 [n = 20；Hx+ = 5]）高中生（15-17 岁）完成一次布法罗脑震荡跑步机测试和两次改良穿梭跑测试. 症状评分是使用运动脑震荡评估工具（第 5 版）上的 22 点症状评估量表在体力消耗测试前后立即收集的。结果：运动前测试期间报告最多的症状是疲劳/精力不足、感觉迟缓和紧张/焦虑，而感觉减慢、疲劳/精力不足、“头部压力”（仅限男性）和头痛（仅限女性）最多在运动后测试中经常报告。结论：了解青少年在实验室或现场环境中基线时常见的劳累相关症状可能对临床医生有利，因为他们可以管理脑震荡后的个体恢复。这在青少年的康复和重返赛场期间尤其重要，此时可以进行运动测试，特别是因为无论脑震荡史如何，男性和女性的运动测试前后都会报告症状。