Neuromuscular diseases care in the era of COVID-19
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- dc.contributor.author Bertran-Recasens, Bernat
- dc.contributor.author Rubio Pérez, Miguel Angel
- dc.date.accessioned 2021-07-01T06:54:52Z
- dc.date.available 2021-07-01T06:54:52Z
- dc.date.issued 2020
- dc.description.abstract The COVID-19 pandemic has pushed health systems to their limit and forced readjustment of standards of care for different pathologies. Management of neuromuscular diseases becomes a challenge since most of them are chronic, disabling, progressive, and/or require immunosuppressive drugs. There are three main aspects of COVID-19 that affect neuromuscular diseases care. The first one relates to how SARS-CoV2 directly affects different neuromuscular pathologies. Respiratory weakness, as seen in myasthenia gravis, amyotrophic lateral sclerosis, and myopathies, and the use of immunomodulatory drugs (Myasthenia Gravis and Chronic Inflammatory Demyelinating Polyneuropathy) make this group of patients potentially more vulnerable. Secondly, safety measures also affect proper care, limiting care continuity, and physical rehabilitation (one of the essential aspects of myopathies treatment). Telemedicine can partially solve the problem allowing for a continuum of close care, avoiding unnecessary visits, and even guaranteeing the attention of professionals from tertiary care centers. However, one of the crucial steps in neuromuscular diseases is diagnosis, and in most scenarios, more than one face-to-face visit is needed. Lastly, the global COVID-19 situation will also have an economic impact on patients and their families. This situation is of particular concern given that neuromuscular diseases already present difficulties due to the scarcity of resources in terms of public healthcare and research.
- dc.format.mimetype application/pdf
- dc.identifier.citation Bertran-Recasens B, Rubio Pérez MA. Neuromuscular diseases care in the era of COVID-19. Front Neurol. 2020 Nov 26; 11:588929. DOI: 10.3389/fneur.2020.588929
- dc.identifier.doi http://dx.doi.org/10.3389/fneur.2020.588929
- dc.identifier.issn 1664-2295
- dc.identifier.uri http://hdl.handle.net/10230/48032
- dc.language.iso eng
- dc.publisher Frontiers
- dc.rights Copyright © 2020 Bertran Recasens and Rubio. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) http://creativecommons.org/licenses/by/4.0/. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword ALS (amyotrophic lateral sclerosis)
- dc.subject.keyword CIDP
- dc.subject.keyword COVID-19
- dc.subject.keyword Myasthenia gravis
- dc.subject.keyword Neuromuscular disease (NMD)
- dc.subject.keyword Telehealth
- dc.subject.keyword Telemedicine
- dc.title Neuromuscular diseases care in the era of COVID-19
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion