Geriatrics Research · Oct 25, 2026
Rehabilitation effects of scenario-based rehearsal combined with bodyweight training in older patients with sarcopenia and analysis of factors influencing training adherence
By 仇丽雯, 凌霞敏, 蒋超 et al.
OBJECTIVE: To investigate the effects of scenario-based rehearsal combined with bodyweight training in older patients with sarcopenia and the factors influencing their training adherence. METHODS: A total of 200 older patients with sarcopenia treated in the Department of Rehabilitation at Shanghai Fourth Rehabilitation Hospital from April 2022 to April 2025 were selected and assigned to a control group and an observation group using a random number table, with 100 patients in each group. The control group received traditional manual massage combined with conventional exercise training, and the observation group received scenario-based rehearsal combined with bodyweight training. Both groups received continuous intervention for 24 weeks. Muscle strength and physical function [assessed using the Short Physical Performance Battery (SPPB)], activities of daily living (assessed using the Barthel Index), fear of falling [assessed using the Falls Efficacy Scale–International (FES-I)], and quality of life [assessed using the 36-Item Short Form Health Survey (SF-36)] were compared between the two groups before and after the intervention. Multivariable logistic regression was used to analyze factors influencing training adherence in older patients with sarcopenia. RESULTS: After the intervention, grip strength, quadriceps strength, balance, gait speed, lower limb strength, total SPPB score, Barthel Index score, and scores for all SF-36 dimensions in the observation group increased compared with those before the intervention and were all higher than those in the control group (all P<0.05); FES-I scores in the observation group decreased compared with those before the intervention and were lower than those in the control group (all P<0.05). Among the 100 patients in the observation group, 59 had good adherence to rehabilitation training and 41 had poor adherence. Differences in educational level, family accompaniment, monthly household income, and social support between patients with good and poor adherence were all statistically significant (all P<0.05). Logistic regression analysis showed that educational level (OR=1.068,95%CI:1.009～1.131), family accompaniment (OR=4.515,95%CI:1.321～15.428), monthly household income (OR=2.768,95%CI:1.024～7.482), and social support (OR=0.917,95%CI:0.855～0.984) were factors influencing training adherence in older patients with sarcopenia (all P<0.05). CONCLUSIONS: Scenario-based rehearsal combined with bodyweight training is effective in older patients with sarcopenia, but some patients have poor adherence; educational level, family accompaniment, monthly household income, and social support are all factors influencing patients' training adherence.