{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T05:12:46Z","timestamp":1791695566197,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There are currently many rehabilitation therapies for diastasis recti abdominis (DRA) and no unified treatment recommendations in clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>A network meta\u2010analysis (NMA) was conducted to explore which rehabilitation therapy has the best treatment effect.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PubMed, WOS, EMBASE, and Cochrane Library were searched separately, involving relevant randomized controlled trials published from database establishment to April 24, 2024. This NMA compared 11 rehabilitation therapies, including Pilates, suspension training, electro\u2010acupuncture, core stability exercises, abdominal supports, abdominal and pelvic floor muscle exercise, isometric\u2013isotonic exercises, and neuromuscular electrical stimulation. Following the predefined inclusion and exclusion criteria, literature screening and data extraction were performed. Quality assessment was conducted using Risk of Bias 2 (RoB 2), and data analysis was performed using R (V4.4.1) and STATA (v16) software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 17 articles involving 783 patients were included. The probability rankings for each outcome measure were calculated using the Surface Under the Cumulative Ranking Curve (SUCRA). A higher SUCRA value indicates better overall performance across all studies and a greater likelihood of the treatment being the optimal therapeutic option. Measurement of the inter\u2010rectus distance (IRD) above the umbilicus showed that the suspension training system (STS) had the most significant therapeutic effect (SUCRA\u2009=\u200984.7%), while measurement at umbilicus showed that Pilates had a significant therapeutic effect (SUCRA\u2009=\u200993.5%). Measurement below the umbilicus revealed that the abdominal support plus core stability exercise (ABD_support_cse) had a significant therapeutic effect (SUCRA\u2009=\u200982.9%). In terms of reducing the IRD below the umbilicus, ABD_support_cse was more effective than abdominal support (ABD_support) (standard mean difference [SMD]: 1.45; 95% credible intervals (95% CrI): [0.16, 2.74]). According to Cohen's guidelines for effect size, the SMD can be used to measure the effect size between interventions or variables. An SMD of 1.45 implies that abdominal support plus core stability exercise (ABD_support_cse) has a more profound effect on the rehabilitation of patients with DRA, warranting further research and promotion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings have shown that STS, Pilates, and ABD_support_cse might have the best effect on reducing IRD above, at, and below the umbilicus, respectively. These methods potentially hold the most promise or are the optimal interventions for improving IRD above, at, and below the umbilicus. However, considering the limitations of the research, future research should employ standardized and objective measurement techniques, utilize blinded assessments, incorporate longer follow\u2010up periods, design standardized intervention protocols, and include diverse populations. Further analysis and exploration based on high\u2010quality evidence are warranted to refine the understanding and exploration of this area.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70413","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T10:34:05Z","timestamp":1753439645000},"page":"697-709","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparative effectiveness of rehabilitation therapies for diastasis recti abdominis: A systematic review and Bayesian network meta\u2010analysis"],"prefix":"10.1002","volume":"172","author":[{"given":"Jiahui","family":"Zhu","sequence":"first","affiliation":[{"name":"School of Special Education and Rehabilitation Binzhou Medical University  Yantai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BaoJin","family":"Dong","sequence":"additional","affiliation":[{"name":"School of Special Education and Rehabilitation Binzhou Medical University  Yantai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuang","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Special Education and Rehabilitation Binzhou Medical University  Yantai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-021-02468-8"},{"issue":"3","key":"e_1_2_11_3_1","first-page":"400","article-title":"Postpartum exercise intervention targeting diastasis recti abdominis","volume":"14","author":"Laframboise FC","year":"2021","journal-title":"Int J Exerc Sci"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2024.02.002"},{"issue":"4","key":"e_1_2_11_5_1","first-page":"368","article-title":"Effectiveness of early postpartum rectus abdominis versus transversus abdominis training in patients with diastasis of the rectus abdominis muscles: a pilot randomized controlled trial","volume":"75","author":"Simpson E","year":"2023","journal-title":"Physiother Can"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2022.2100300"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics12092044"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e20956"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2019.10.003"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20140548"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0151-9638(04)93639-3"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2023.03.040"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2022.05.001"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.1003361"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10215043"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2023.02.002"},{"key":"e_1_2_11_17_1","volume-title":"AHRQ Methods for Effective Health Care. Findings of Bayesian Mixed Treatment Comparison Meta\u2010Analyses: Comparison and Exploration Using Real\u2010World Trial Data and Simulation","author":"Jonas DE","year":"2013"},{"key":"e_1_2_11_18_1","volume-title":"Introduction to Bayesian Network Meta\u2010Analysis: The Clear Center","author":"Cha BDA","year":"2020"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16749"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2016.02.016"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1018598421607"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2022.102712"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.14715\/cmb\/2021.67.5.12"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.18311\/jeoh\/2021\/28267"},{"issue":"3","key":"e_1_2_11_26_1","first-page":"202","article-title":"Effect of exercise on inter\u2010recti distance and associated low back pain among post\u2010partum females: a randomized controlled trial","volume":"15","author":"Saleem Z","year":"2021","journal-title":"J Family Reprod Health"},{"key":"e_1_2_11_27_1","volume-title":"The Influence of Pilates Soil on Separation of the Rectus Abdominis Muscle in Women in the Climat\u00e9rio","author":"cfy RBR","year":"2017"},{"key":"e_1_2_11_28_1","first-page":"11","article-title":"Physiotherapy in women with diastasis of the rectus abdominis muscles","volume":"32","author":"Bobowik P","year":"2018","journal-title":"Adv Rehab"},{"issue":"1","key":"e_1_2_11_29_1","first-page":"62","article-title":"Efficacy of deep core stability exercise program in postpartum women with diastasis recti abdominis: a randomised controlled trial","volume":"19","author":"Thabet AA","year":"2019","journal-title":"J Musculoskelet Neuronal Interact"},{"key":"e_1_2_11_30_1","first-page":"S395","article-title":"Effect of progressive prone plank exercise program on diastasis of rectus abdominis muscle in postpartum women: a randomized controlled trial","volume":"16","author":"Awad E","year":"2021","journal-title":"J Hum Sport Exerc"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2021.06.006"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1519\/JSC.0b013e3181fb4a46"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.4082\/kjfm.22.0035"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2023.05.017"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.7322\/abcshs.2022071.2135"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2019.1675207"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-100886"},{"issue":"7","key":"e_1_2_11_38_1","article-title":"Pilates for low back pain","volume":"2015","author":"Yamato TP","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-023-02775-5"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2013.08.005"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70413","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.70413","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70413","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:04:28Z","timestamp":1791176668000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.70413"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,25]]},"references-count":39,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/ijgo.70413"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.70413","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,25]]},"assertion":[{"value":"2025-03-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}