Long-term river evolution depends partly on crustal deformation, which shapes the topography crossed by rivers. On glacial timescales, ice-sheet growth and decay can produce crustal vertical motion of ∼10 mm/yr resulting from the solid Earth's adjustment to variations in ice and water loads, comparable to tectonically-driven rates in the most rapidly uplifting mountains on Earth. This process of glacial isostatic adjustment (GIA) can influence river courses and drainage basins substantially, particularly near former ice margins. We explore the extent to which GIA influenced the evolution of rivers along the United States east coast during the last glacial cycle. We compute gravitationally self-consistent GIA responses that incorporate recent constraints on the Laurentide Ice Sheet history through the last glacial build-up phase, and we connect the predicted variations in topography to abrupt changes in river dynamics recorded in the Hudson, Delaware, Susquehanna, and Potomac Rivers from 40 ka to present. To the extent that increases in sediment transport capacity imply increases in river incision rate, the GIA-driven changes in slope and drainage area are consistent with episodes of erosion and sedimentation observed in the Hudson, Delaware, and Potomac Rivers, but inconsistent with the observed accelerated river incision in the Susquehanna River at 30-14 ka. These analyses add to a growing body of evidence showing that GIA strongly influences river evolution over millennial timescales. • Over the last ice-age, glacial isostatic adjustment produced uplift on the U.S. east coast. • We explore influence of glacial-isostatic adjustment on river dynamics from 40-15 ka. • We calculate river channel slope and drainage area change due to glacial-isostatic adjustment. • The Hudson, Delaware, and Potomac likely responded to glacial isostatic adjustment from 40-15 ka. [ABSTRACT FROM AUTHOR]