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. 2020 Aug 17;268(5):1580–1591. doi: 10.1007/s00415-020-10149-2

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© The Author(s) 2020

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 2 — The four pillars of neuromuscular disorder centres and their function during the SARS-CoV-2 pandemic. This figure displays the four main organizational milestones that could improve the care of neuromuscular disorder (NMD) patients during the pandemic. The prominent use of telemedicine approaches (wide green arrow), if possible, can help to avoid unnecessary hospital visits for NMD patients. Ancillary services performed as much as possible with virtual platforms, such as pulmonary assessments, fluoroscopic swallowing studies, and neuropsychological evaluations, and outpatient clinics represent valuable alternatives to hospital visits (medium-width green arrows). NMD patients’ visits in hospital settings, particularly if dedicated to COVID patients, should be proposed more sporadically, (narrow-width green arrow), be preferred for low-risk NMD patients, and be provided following strict safety measures (see “The role of neuromuscular centre” section for more details)