{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T11:31:28Z","timestamp":1793446288323,"version":"4.5.0"},"reference-count":21,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100019978","name":"Shanghai Pudong New Area Health Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100019978","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003399","name":"Science and Technology Commission of Shanghai Municipality","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003399","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Complementary Therapies in Medicine"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.ctim.2026.103443","type":"journal-article","created":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T14:38:11Z","timestamp":1791729491000},"page":"103443","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Efficacy of adding fascial manipulation to neuromuscular electrical stimulation and sling exercise for postpartum diastasis recti: A randomized controlled trial"],"prefix":"10.1016","volume":"103","author":[{"given":"Chao","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Qu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huibo","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linglong","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yinghong","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingxuan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huaiming","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shasha","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.ctim.2026.103443_bib1","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1007\/s00192-024-05727-1","article-title":"Diastasis recti abdominis rehabilitation in the postpartum period: a scoping review of current clinical practice","volume":"35","author":"Skoura","year":"2024","journal-title":"Int Urogynecol J"},{"issue":"2","key":"10.1016\/j.ctim.2026.103443_bib2","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1002\/wjs.70227","article-title":"Prevalence of symptomatic established rectus diastasis of parity in primiparous women: a prospective cohort study from early pregnancy to 1-year postpartum","volume":"50","author":"Fitzpatrick","year":"2026","journal-title":"World J Surg"},{"issue":"12","key":"10.1016\/j.ctim.2026.103443_bib3","doi-asserted-by":"crossref","first-page":"2413","DOI":"10.1007\/s00192-024-05930-0","article-title":"Long-term outcomes of diastasis recti abdominis in postpartum women: a retrospective cohort study","volume":"35","author":"Wang","year":"2024","journal-title":"Int Urogynecol J"},{"key":"10.1016\/j.ctim.2026.103443_bib4","doi-asserted-by":"crossref","first-page":"179","DOI":"10.2147\/IJWH.S437088","article-title":"Risk factors and patient-reported outcomes in Chinese women with postpartum diastasis recti abdominis: an observational study","volume":"16","author":"Zhu","year":"2024","journal-title":"Int J Women's Health"},{"issue":"4","key":"10.1016\/j.ctim.2026.103443_bib5","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1007\/s10029-021-02468-8","article-title":"Prevalence and risk factors for diastasis recti abdominis: a review and proposal of a new anatomical variation","volume":"25","author":"Cavalli","year":"2021","journal-title":"Hernia: J Hernias Abdom Wall Surg"},{"issue":"10","key":"10.1016\/j.ctim.2026.103443_bib6","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2023.e20956","article-title":"Rehabilitations for maternal diastasis recti abdominis: an update on therapeutic directions","volume":"9","author":"Chen","year":"2023","journal-title":"Heliyon"},{"issue":"8","key":"10.1016\/j.ctim.2026.103443_bib7","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1136\/bjsports-2024-108619","article-title":"Impact of postpartum exercise on pelvic floor disorders and diastasis recti abdominis: a systematic review and meta-analysis","volume":"59","author":"Beamish","year":"2025","journal-title":"Br J Sports Med"},{"issue":"9","key":"10.1016\/j.ctim.2026.103443_bib8","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1080\/09593985.2019.1675207","article-title":"The impact of exercise therapy and abdominal binding in the management of diastasis recti abdominis in the early post-partum period: a pilot randomized controlled trial","volume":"37","author":"Keshwani","year":"2021","journal-title":"Physiother Theory Pract"},{"issue":"4","key":"10.1016\/j.ctim.2026.103443_bib9","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1007\/s40279-025-02179-5","article-title":"Comparative efficacy and acceptability of non-surgical treatments with or without exercise for diastasis recti abdominis in postpartum women: a network meta-analysis of randomized controlled trials","volume":"55","author":"Wu","year":"2025","journal-title":"Sports Med"},{"issue":"23","key":"10.1016\/j.ctim.2026.103443_bib10","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000042723","article-title":"Effects of conservative approaches for treating diastasis recti abdominis in postpartum women: a systematic review and meta-analysis","volume":"104","author":"De Oliveira","year":"2025","journal-title":"Medicine"},{"issue":"12","key":"10.1016\/j.ctim.2026.103443_bib11","doi-asserted-by":"crossref","first-page":"2596","DOI":"10.1080\/09593985.2022.2100300","article-title":"Comparing the effects of suspension and isometric-isotonic training on postural stability, lumbopelvic control, and proprioception in women with diastasis recti abdominis: a randomized, single-blinded, controlled trial","volume":"39","author":"Yalfani","year":"2023","journal-title":"Physiother Theory Pract"},{"issue":"1","key":"10.1016\/j.ctim.2026.103443_bib12","doi-asserted-by":"crossref","DOI":"10.1515\/med-2025-1164","article-title":"Core muscle strength and stability-oriented breathing training reduces inter-recti distance in postpartum women","volume":"20","author":"Chen","year":"2025","journal-title":"Open Med"},{"key":"10.1016\/j.ctim.2026.103443_bib13","doi-asserted-by":"crossref","first-page":"12314","DOI":"10.3389\/jaws.2024.12314","article-title":"Gender equality in diastasis rectus abdominis in chronic back pain: a model of M. transversus abdominis motor control impairment","volume":"3","author":"Van Wingerden","year":"2024","journal-title":"J Abdom Wall Surg: JAWS"},{"key":"10.1016\/j.ctim.2026.103443_bib14","doi-asserted-by":"crossref","DOI":"10.3389\/fmed.2024.1441127","article-title":"Ultrasonographic evaluation of diastasis recti abdominis and its association with pelvic floor dysfunction in postpartum women: a cross-sectional study of a two-year retrospective cohort","volume":"11","author":"Li","year":"2024","journal-title":"Front Med"},{"issue":"1","key":"10.1016\/j.ctim.2026.103443_bib15","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1080\/10669817.2025.2486110","article-title":"The effects of fascial manipulation on pain: a systematic review with meta-analysis","volume":"34","author":"Trybulski","year":"2026","journal-title":"J Man Manip Ther"},{"key":"10.1016\/j.ctim.2026.103443_bib16","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.1016\/j.jbmt.2024.08.011","article-title":"Immediate effects of corrective exercise versus curl-up in women with diastasis recti abdominis","volume":"40","author":"Toprak Celenay","year":"2024","journal-title":"J Bodyw Mov Ther"},{"key":"10.1016\/j.ctim.2026.103443_bib17","article-title":"Establishing measurement properties in the assessment of inter-recti distance of the abdominal muscles in a postnatal women","volume":"49","author":"Benjamin","year":"2020","journal-title":"Musculoskelet Sci Pract"},{"key":"10.1016\/j.ctim.2026.103443_bib18","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.physio.2023.02.002","article-title":"Conservative interventions may have little effect on reducing diastasis of the rectus abdominis in postnatal women \u2013 a systematic review and meta-analysis","volume":"119","author":"Benjamin","year":"2023","journal-title":"Physiotherapy"},{"issue":"6","key":"10.1016\/j.ctim.2026.103443_bib19","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1016\/j.bjpt.2021.06.006","article-title":"What is the evidence for abdominal and pelvic floor muscle training to treat diastasis recti abdominis postpartum? A systematic review with meta-analysis","volume":"25","author":"Gluppe","year":"2021","journal-title":"Braz J Phys Ther"},{"issue":"3","key":"10.1016\/j.ctim.2026.103443_bib20","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1016\/j.apmr.2015.07.023","article-title":"What is evidence-based about myofascial chains: a systematic review","volume":"97","author":"Wilke","year":"2016","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.ctim.2026.103443_bib21","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.physio.2022.05.001","article-title":"Rehabilitation programme including EMG-biofeedback- assisted pelvic floor muscle training for rectus diastasis after childbirth: a randomised controlled trial","volume":"117","author":"Liang","year":"2022","journal-title":"Physiotherapy"}],"container-title":["Complementary Therapies in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0965229926001263?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0965229926001263?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T10:45:30Z","timestamp":1793443530000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0965229926001263"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":21,"alternative-id":["S0965229926001263"],"URL":"https:\/\/doi.org\/10.1016\/j.ctim.2026.103443","relation":{},"ISSN":["0965-2299"],"issn-type":[{"value":"0965-2299","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Efficacy of adding fascial manipulation to neuromuscular electrical stimulation and sling exercise for postpartum diastasis recti: A randomized controlled trial","name":"articletitle","label":"Article Title"},{"value":"Complementary Therapies in Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ctim.2026.103443","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"103443"}}