Perhaps you should try some spelling variations:
significantly impaired » significantly impairs (Expand Search), significantly improved (Expand Search), significantly improve (Expand Search)
significantly smaller » significantly higher (Expand Search), significantly lower (Expand Search), significantly greater (Expand Search)
impaired decrease » marked decrease (Expand Search)
smaller decrease » small decrease (Expand Search), marked decrease (Expand Search), smaller areas (Expand Search)

You may be able to get more results by adjusting your search query.

• Removing quotes may allow a broader search: (( significantly smaller decrease ) OR ( significantly impaired decrease ))~.