{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:04:57Z","timestamp":1790291097727,"version":"4.1.0"},"reference-count":44,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T00:00:00Z","timestamp":1686268800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jprasurg.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Plastic, Reconstructive & Aesthetic Surgery"],"published-print":{"date-parts":[[2023,9]]},"DOI":"10.1016\/j.bjps.2023.06.005","type":"journal-article","created":{"date-parts":[[2023,6,10]],"date-time":"2023-06-10T13:50:23Z","timestamp":1686405023000},"page":"439-446","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"special_numbering":"C","title":["Clinical significance of diastasis recti: Literature review and awareness amongst health care professionals"],"prefix":"10.1016","volume":"84","author":[{"given":"Louise L.","family":"Blankensteijn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Hockx","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margriet","family":"Mullender","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark-Bram","family":"Bouman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wynand B.W.H.","family":"Melenhorst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"5","key":"10.1016\/j.bjps.2023.06.005_bib1","doi-asserted-by":"crossref","first-page":"1564","DOI":"10.1097\/PRS.0b013e3181882493","article-title":"Diastasis recti: clinical anatomy","volume":"122","author":"Brauman","year":"2008","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2023.06.005_bib2","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1097\/01274882-200933020-00003","article-title":"Diastasis rectus abdominis and lumbo-pelvic pain and dysfunction-are they related?","volume":"33","author":"Parker","year":"2009","journal-title":"J Women\u2019s Health Phys Ther"},{"issue":"3","key":"10.1016\/j.bjps.2023.06.005_bib3","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1007\/s00192-006-0143-5","article-title":"Prevalence of diastasis recti abdominis in a urogynecological patient population","volume":"18","author":"Spitznagle","year":"2007","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"10","key":"10.1016\/j.bjps.2023.06.005_bib4","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1093\/bjs\/znab128","article-title":"European Hernia Society guidelines on management of rectus diastasis","volume":"108","author":"Hern\u00e1ndez-Granados","year":"2021","journal-title":"Br J Surg"},{"issue":"1","key":"10.1016\/j.bjps.2023.06.005_bib5","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.jss.2004.10.010","article-title":"Anisotropy of human linea alba: a biomechanical study","volume":"124","author":"Gr\u00e4ssel","year":"2005","journal-title":"J Surg Res"},{"issue":"4","key":"10.1016\/j.bjps.2023.06.005_bib6","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/BF00237775","article-title":"Responses of intra-abdominal pressure and abdominal muscle activity during dynamic trunk loading in man","volume":"66","author":"Cresswell","year":"1993","journal-title":"Eur J Appl Physiol"},{"issue":"4","key":"10.1016\/j.bjps.2023.06.005_bib7","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1111\/j.1748-1716.1992.tb09314.x","article-title":"Observations on intra-abdominal pressure and patterns of abdominal intra-muscular activity in man","volume":"144","author":"Cresswell","year":"1992","journal-title":"Acta Physiol Scand"},{"issue":"3","key":"10.1016\/j.bjps.2023.06.005_bib8","doi-asserted-by":"crossref","first-page":"1010","DOI":"10.1152\/jappl.1990.68.3.1010","article-title":"Transversus abdominis muscle function in humans","volume":"68","author":"De Troyer","year":"1990","journal-title":"J Appl Physiol"},{"issue":"7","key":"10.1016\/j.bjps.2023.06.005_bib9","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1016\/0021-9290(95)00148-4","article-title":"A revised anatomical model of the abdominal musculature for torso flexion efforts","volume":"29","author":"McGill","year":"1996","journal-title":"J Biomech"},{"issue":"6","key":"10.1016\/j.bjps.2023.06.005_bib10","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1016\/S0003-6870(99)00012-5","article-title":"Maximum isometric trunk muscle strength and activity at trunk axial rotation during sitting","volume":"30","author":"Tor\u00e9n","year":"1999","journal-title":"Appl Erg"},{"issue":"1","key":"10.1016\/j.bjps.2023.06.005_bib11","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1097\/00007632-199801010-00019","article-title":"The effects of abdominal muscle coactivation on lumbar spine stability","volume":"23","author":"Gardner-Morse","year":"1998","journal-title":"Spine"},{"issue":"1","key":"10.1016\/j.bjps.2023.06.005_bib12","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1006\/jsre.2000.6070","article-title":"Collagen fibers in linea alba and rectus sheaths. I. General scheme and morphological aspects","volume":"96","author":"Axer","year":"2001","journal-title":"J Surg Res"},{"issue":"2","key":"10.1016\/j.bjps.2023.06.005_bib13","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1006\/jsre.2000.6071","article-title":"Collagen fibers in linea alba and rectus sheaths","volume":"96","author":"Axer","year":"2001","journal-title":"J Surg Res"},{"issue":"6","key":"10.1016\/j.bjps.2023.06.005_bib14","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1002\/ca.20836","article-title":"The normal width of the linea alba in nulliparous women","volume":"22","author":"Beer","year":"2009","journal-title":"Clin Anat"},{"issue":"2","key":"10.1016\/j.bjps.2023.06.005_bib15","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1007\/s10029-021-02493-7","article-title":"Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study","volume":"26","author":"Kaufmann","year":"2022","journal-title":"Hernia"},{"issue":"3","key":"10.1016\/j.bjps.2023.06.005_bib16","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1055\/s-0038-1661380","article-title":"Management strategies for diastasis recti","volume":"32","author":"Nahabedian","year":"2018","journal-title":"Semin Plast Surg"},{"issue":"3","key":"10.1016\/j.bjps.2023.06.005_bib17","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1590\/S0102-86502007000300005","article-title":"Ultrasonography for measuring rectus abdominis muscles diastasis","volume":"22","author":"Mendes","year":"2007","journal-title":"Acta Cir Bras"},{"issue":"17","key":"10.1016\/j.bjps.2023.06.005_bib18","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1136\/bjsports-2016-096065","article-title":"Diastasis recti abdominis during pregnancy and 12\u2005months after childbirth: prevalence, risk factors and report of lumbopelvic pain","volume":"50","author":"Sperstad","year":"2016","journal-title":"Br J Sports Med"},{"issue":"11","key":"10.1016\/j.bjps.2023.06.005_bib19","first-page":"817","article-title":"Prevalence of diastasis recti abdominis in the population of young multiparous adults in Turkey","volume":"82","author":"Turan","year":"2011","journal-title":"Ginekol Pol"},{"issue":"7","key":"10.1016\/j.bjps.2023.06.005_bib20","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1093\/ptj\/68.7.1082","article-title":"Incidence of diastasis recti abdominis during the childbearing year","volume":"68","author":"Boissonnault","year":"1988","journal-title":"Phys Ther"},{"issue":"2","key":"10.1016\/j.bjps.2023.06.005_bib21","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.math.2006.10.001","article-title":"Postpartum characteristics of rectus abdominis on ultrasound imaging","volume":"13","author":"Coldron","year":"2008","journal-title":"Man Ther"},{"key":"10.1016\/j.bjps.2023.06.005_bib22","first-page":"49","article-title":"Risk factors for diastasis of the recti abdominis.","volume":"97","author":"Candido","year":"2005","journal-title":"J Assoc Chart Physiother Women\u2019s Health"},{"issue":"1","key":"10.1016\/j.bjps.2023.06.005_bib23","doi-asserted-by":"crossref","first-page":"210","DOI":"10.5958\/j.0973-5674.8.1.040","article-title":"Correlation between diastasis rectus abdominis and lumbopelvic pain and dysfunction","volume":"8","author":"Dalal","year":"2014","journal-title":"Indian J Physiother Occup Ther Int J"},{"issue":"5","key":"10.1016\/j.bjps.2023.06.005_bib24","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1002\/nau.20700","article-title":"Evidence for benefit of transversus abdominis training alone or in combination with pelvic floor muscle training to treat female urinary incontinence: a systematic review","volume":"28","author":"B\u00f8","year":"2009","journal-title":"Neurourol Urodyn"},{"key":"10.1016\/j.bjps.2023.06.005_bib25","article-title":"Diastasis recti abdominis in pregnancy and postpartum period. Risk factors, functional implications and resolution","volume":"11","author":"Mota","year":"2015","journal-title":"Curr Women\u2019s Health Rev"},{"issue":"2","key":"10.1016\/j.bjps.2023.06.005_bib26","doi-asserted-by":"crossref","first-page":"97","DOI":"10.5603\/GP.a2018.0016","article-title":"Diastasis recti abdominis - a review of treatment methods","volume":"89","author":"Michalska","year":"2018","journal-title":"Ginekol Pol"},{"issue":"12","key":"10.1016\/j.bjps.2023.06.005_bib27","doi-asserted-by":"crossref","first-page":"4934","DOI":"10.1007\/s00464-017-5607-9","article-title":"The general surgeon\u2019s perspective of rectus diastasis. A systematic review of treatment options","volume":"31","author":"Mommers","year":"2017","journal-title":"Surg Endosc"},{"key":"10.1016\/j.bjps.2023.06.005_bib28","doi-asserted-by":"crossref","first-page":"65","DOI":"10.3389\/fsurg.2019.00065","article-title":"Treatment options for abdominal rectus diastasis","volume":"6","author":"Jessen","year":"2019","journal-title":"Front Surg"},{"issue":"1","key":"10.1016\/j.bjps.2023.06.005_bib29","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.physio.2013.08.005","article-title":"Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review","volume":"100","author":"Benjamin","year":"2014","journal-title":"Physiotherapy"},{"issue":"4","key":"10.1016\/j.bjps.2023.06.005_bib30","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1093\/ptj\/pzy008","article-title":"Effect of a postpartum training program on the prevalence of diastasis recti abdominis in postpartum primiparous women: a randomized controlled trial","volume":"98","author":"Gluppe","year":"2018","journal-title":"Phys Ther"},{"issue":"1","key":"10.1016\/j.bjps.2023.06.005_bib31","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","year":"2019","journal-title":"J Musculoskelet Neuron Interact"},{"issue":"5","key":"10.1016\/j.bjps.2023.06.005_bib32","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1016\/j.surg.2016.05.035","article-title":"Operative correction of abdominal rectus diastasis (ARD) reduces pain and improves abdominal wall muscle strength: a randomized, prospective trial comparing retromuscular mesh repair to double-row, self-retaining sutures","volume":"160","author":"Emanuelsson","year":"2016","journal-title":"Surgery"},{"issue":"6","key":"10.1016\/j.bjps.2023.06.005_bib33","doi-asserted-by":"crossref","first-page":"1787","DOI":"10.1097\/00006534-200111000-00058","article-title":"An aesthetic classification of the abdomen based on the myoaponeurotic layer","volume":"108","author":"Nahas","year":"2001","journal-title":"Plast Reconstr Surg"},{"issue":"12","key":"10.1016\/j.bjps.2023.06.005_bib34","doi-asserted-by":"crossref","first-page":"1309","DOI":"10.1093\/asj\/sjaa032","article-title":"Improvement in back pain following abdominoplasty: results of a 10-year, single-surgeon series","volume":"40","author":"Soteropulos","year":"2020","journal-title":"Aesthet Surg J"},{"issue":"3","key":"10.1016\/j.bjps.2023.06.005_bib35","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1080\/2000656X.2016.1222293","article-title":"Abdominal plasty with and without plication-effects on trunk muscles, lung function, and self-rated physical function","volume":"51","author":"Wilhelmsson","year":"2017","journal-title":"J Plast Surg Hand Surg"},{"issue":"3","key":"10.1016\/j.bjps.2023.06.005_bib36","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1097\/00006534-200103000-00008","article-title":"Nylon versus polydioxanone in the correction of rectus diastasis","volume":"107","author":"Nahas","year":"2001","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"10.1016\/j.bjps.2023.06.005_bib37","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1177\/1090820X11415242","article-title":"Repair of the midline fascial defect in abdominoplasty with long-acting barbed and smooth absorbable sutures","volume":"31","author":"Rosen","year":"2011","journal-title":"Aesthet Surg J"},{"issue":"Suppl. 2","key":"10.1016\/j.bjps.2023.06.005_bib38","doi-asserted-by":"crossref","first-page":"S78","DOI":"10.1093\/asj\/sjy333","article-title":"Abdominal wall plication and correction of deformities of the myoaponeurotic layer: focusing on materials and techniques used for synthesis","volume":"39","author":"Nahas","year":"2019","journal-title":"Aesthet Surg J"},{"issue":"6","key":"10.1016\/j.bjps.2023.06.005_bib39","first-page":"698","article-title":"Single-layer plication for repair of diastasis recti: the most rapid and efficient technique","volume":"37","author":"Gama","year":"2017","journal-title":"Aesthet Surg J"},{"issue":"8","key":"10.1016\/j.bjps.2023.06.005_bib40","doi-asserted-by":"crossref","first-page":"e952","DOI":"10.7205\/MILMED-D-15-00387","article-title":"Functional improvement following diastasis rectus abdominus repair in an active duty navy female","volume":"181","author":"Gallus","year":"2016","journal-title":"Mil Med"},{"issue":"1","key":"10.1016\/j.bjps.2023.06.005_bib41","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1097\/PRS.0b013e3181fad2f7","article-title":"Wide abdominal rectus plication abdominoplasty for the treatment of chronic intractable low back pain","volume":"127","author":"Oneal","year":"2011","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"10.1016\/j.bjps.2023.06.005_bib42","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1002\/bjs5.50213","article-title":"Cohort study of the effect of surgical repair of symptomatic diastasis recti abdominis on abdominal trunk function and quality of life","volume":"3","author":"Olsson","year":"2019","journal-title":"BJS Open"},{"issue":"3","key":"10.1016\/j.bjps.2023.06.005_bib43","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1097\/PRS.0000000000004100","article-title":"Abdominoplasty improves low back pain and urinary incontinence","volume":"141","author":"Taylor","year":"2018","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2023.06.005_bib44","article-title":"Abdominoplasty improves quality of life, psychological distress, and eating disorder symptoms: a prospective study","volume":"2014","author":"Saariniemi","year":"2014","journal-title":"Plast Surg Int"}],"container-title":["Journal of Plastic, Reconstructive & Aesthetic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681523003224?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681523003224?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T20:50:59Z","timestamp":1761684659000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1748681523003224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":44,"alternative-id":["S1748681523003224"],"URL":"https:\/\/doi.org\/10.1016\/j.bjps.2023.06.005","relation":{},"ISSN":["1748-6815"],"issn-type":[{"value":"1748-6815","type":"print"}],"subject":[],"published":{"date-parts":[[2023,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Clinical significance of diastasis recti: Literature review and awareness amongst health care professionals","name":"articletitle","label":"Article Title"},{"value":"Journal of Plastic, Reconstructive & Aesthetic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bjps.2023.06.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}]}}