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 - not as a direct effect or consequence; indirect benefits; an indirect advantage. secondary - being of second rank or importance or value; not direct or immediate; the stone will be hauled to a secondary crusher; a secondary source; a secondary issue; secondary streams.