Moreover, some outcome measures with ordinal rating scales showed ceiling effects in people with MS and a high dexterity level. These effects may influence statistical analyses investigating associations of outcome measures in this subgroup. Finally, despite an already comprehensive assessment of upper limb function, we did not measure all impairments that may have had an impact on ADL, such as muscle fatigue, force control, or impaired proprioception or vibration. Further research investigating the specific effects of these impairments on the activity and participation levels is needed.
Moreover, some outcome measures with ordinal rating scales showed ceiling effects in people with MS and a high dexterity level. These effects may influence statistical analyses investigating associations of outcome measures in this subgroup. Finally, despite an already comprehensive assessment of upper limb function, we did not measure all impairments that may have had an impact on ADL, such as muscle fatigue, force control, or impaired proprioception or vibration. Further research investigating the specific effects of these impairments on the activity and participation levels is needed.
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