Hemiplegic individuals often demonstrate gait abnormality causing asymmetry in lower-limb muscle activation-related (implicit) and gait-related (explicit) measures (offering complementary information on one's gait) while walking. Added to hemiplegia, such asymmetry can be aggravated while walking under varying task conditions, namely, walking without speaking (single task), walking while counting backwards (dual task), and walking while holding an object and counting backwards (multiple task). This emphasizes the need to quantify the extent of aggravated implication of multiple-task and dual-task on gait asymmetry compared to single task.
View Article and Find Full Text PDFObjective: To systematically examine the literature on the clinical consequences of inadvertent delays in scheduled onabotulinumtoxin A (OTA) therapy for chronic migraine during the COVID-19 pandemic and assess recommendations when access to OTA is limited.
Background: The coronavirus (COVID-19) pandemic was unprecedented in its impact on the global medical community. Most healthcare institutions in the United States (US) and the world had begun significantly limiting elective procedures, undermining management of many debilitating chronic conditions.