{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T20:57:44Z","timestamp":1789419464901,"version":"build-2803163510"},"reference-count":37,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:00:00Z","timestamp":1765411200000},"content-version":"unspecified","delay-in-days":344,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Wearable Technol."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Diastasis of rectus abdominis (DRA) is a common pathological condition in postpartum rehabilitation, but with limited treatment strategies. This study aimed to explore the effect of using a trunk-wearable neuromuscular electrical stimulation (NMES) device on postpartum women with moderate and severe DRA. A total of 84 postpartum women with an inter-rectus distance (IRD) of \u22653\u00a0cm were randomly assigned to two equal groups. The treatment group received a trunk-wearable NMES device and exercise therapy, whereas the control group received exercise only. We measured IRD and calculated treatment response proportion, improvement of trunk muscle strength, and low-back pain in both groups. Additionally, we evaluated quality of life (QoL) using the SF-36 questionnaire and Hernia-related Quality of Life Survey (HerQLes). Statistical analysis was performed using SAS 9.4. After 8-week treatment, the IRD of the umbilical (M3) sector showed a greater reduction in the treatment group (\u221210.6 [\u221217.9 to \u22123.3]%,\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0&lt;\u00a00.05). Patients in the treatment group had higher treatment response proportions (\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a00.0031 and\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a00.0010, W2 and W3, respectively). Additionally, the treatment group had higher Janda assessment scores and greater reduction in low-back pain (both\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0&lt;\u00a00.0001). QoL evaluation indicated greater improvements in the SF-36 questionnaire (pain and role-emotional scales,\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0&lt;\u00a00.05) and HerQLes (\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0&lt;\u00a00.0001) in the treatment group. The application of a trunk-wearable NMES device on DRA patients, accompanied by exercise therapy, significantly reduced IRD and increased the treatment response proportion. Moreover, we observed positive improvements in trunk muscle strength, low-back pain, and QoL.\n                  <\/jats:p>","DOI":"10.1017\/wtc.2025.10035","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T06:34:35Z","timestamp":1765434875000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of a trunk-wearable neuromuscular electrical stimulation device in postpartum women with diastasis rectus abdominis: A prospective randomized controlled trial"],"prefix":"10.1017","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3247-9020","authenticated-orcid":false,"given":"Linan","family":"Zheng","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05201qm87","id-type":"ROR","asserted-by":"publisher"}],"name":"Huashan Hospital Fudan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunfeng","family":"Zhang","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05201qm87","id-type":"ROR","asserted-by":"publisher"}],"name":"Huashan Hospital Fudan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Congyu","family":"Jiang","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05201qm87","id-type":"ROR","asserted-by":"publisher"}],"name":"Huashan Hospital Fudan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"He","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05201qm87","id-type":"ROR","asserted-by":"publisher"}],"name":"Huashan Hospital Fudan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yulan","family":"Zhu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05201qm87","id-type":"ROR","asserted-by":"publisher"}],"name":"Huashan Hospital Fudan University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,12,11]]},"reference":[{"key":"S2631717625100352_r34","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2015.09.013"},{"key":"S2631717625100352_r31","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004100"},{"key":"S2631717625100352_r20","doi-asserted-by":"publisher","DOI":"10.1007\/s00421-010-1502-y"},{"key":"S2631717625100352_r17","doi-asserted-by":"publisher","DOI":"10.5535\/arm.2017.41.3.465"},{"key":"S2631717625100352_r33","doi-asserted-by":"publisher","DOI":"10.1111\/cpf.12290"},{"key":"S2631717625100352_r7","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-020-01123-1"},{"key":"S2631717625100352_r32","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":"Journal of 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e55"}}