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39 to .71. Athletes who had experienced an acute loss of consciousness, amnesia, or postural instability had increased odds for declines in two or more areas assessed by ImPACT (odds ratio=7.67-8.00, p.05). In contrast, acute disorientation or vacant look did not lead to cognitive change that met the reliable change threshold. The reliability coefficients and RCIs differed from those published earlier emphasizing the importance of national reference values. The presence of acute loss of consciousness, amnesia, or postural instabili
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