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The COVID-19 pandemic has revolutionized the habits of entire communities, having even more profound negative effects on assistance for the chronically ill. The sudden demand for extraordinary resources caught all worldwide countries unprepared, highlighting shortages in provision of care services. This applies to all patients, affected by COVID-19 or not, as many need continuing access to chronic diseases treatments. Almost all of the energy available has been directed toward care of COVID-19 patients, and almost nothing has been done to continue therapy for patients with spasticity. This study builds on a recent article and discusses its results as a basis for highlighting the ethical dilemmas and unintended consequences of health systems changing their priorities during the pandemic. The above mentioned study has shown increased patient-perceived spasticity during lockdown (72.2%) with reductions in perceived quality of life (70.9%). Telemedicine tools have proved insufficient, with

Adib saberiRisorse disponibiliAlex jadadRimodulazione dellattivitKotteduwa jayawardenProgrammata differibile corsoStrategy for global health developmentNational guidelinesMinistry of healthWorld health organizationItalian spasticity study groupUniversity of foggiaItalian society of anestheticsUniversity of torontoPublic healthGroup consultation on health telematics