Dermatomyositis, polymyositis, and other inflammatory myositis conditions tend to cause weakness that gets worse slowly over weeks or months. The weakness affects large muscle groups, including the neck, shoulders, hips, and back.
An indirect quote is where you present an author's ideas in your own words. This can be done either through paraphrasing (go to next) or summarising. reference the sentence. Even though it has been written in your own words, it is still someone else's idea.
indirect - having intervening factors or persons or influences; reflection from the ceiling provided a soft indirect light; indirect evidence; an indirect cause mediate - acting through or dependent on an intervening agency; the disease spread by mediate as well as direct contact