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Sarcopenia is a progressive musculoskeletal disease characterized by a reduction in muscle strength, muscle quantity, and muscle quality, resulting in impaired functional capacity and independence among older adults. In this context, physiotherapy plays an important role in preventing and addressing the limitations associated with this condition, particularly through individualized interventions performed in the home environment. This study aimed to analyze the contributions of home-based physiotherapy to the functionality of older adults with sarcopenia, considering its effects on muscle strength, balance, gait, mobility, and autonomy in activities of daily living. An integrative literature review was conducted, with a descriptive design and a qualitative approach. Searches were performed in the PubMed/National Library of Medicine (PubMed/NLM) and Physiotherapy Evidence Database (PEDro), using Google Scholar as a complementary search tool. The search terms included sarcopenia, older adults, home-based physiotherapy, functionality, and therapeutic exercises. Articles published between 2016 and 2026, in Portuguese and English, available in full text and related to the research objective, were considered. The findings demonstrated that home-based physiotherapy interventions, particularly resistance exercises, aerobic exercises, and functional training, may contribute to muscle strengthening, improved balance, gait speed, and mobility. It is concluded that home-based physiotherapy represents a relevant strategy for improving functionality and promoting the maintenance of independence among older adults with sarcopenia, thereby contributing to their quality of life and ability to perform daily activities.
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Dias et al. (2026) studied this question.
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