근감소증 노인 대상 원격재활 운동중재의 특성 및 효과: 체계적 문헌고찰

Abstract

Purpose: Sarcopenia, a progressive loss of skeletal muscle mass and function associated with aging, necessitates proactive intervention. This systematic review investigates the characteristics and effects of telerehabilitation exercise interventions for older adults with sarcopenia. Methods: A comprehensive search was conducted across eight databases using predefined search terms to identify studies on telerehabilitation exercise interventions published through May 2025. Results: A total of 3,257 articles were extracted, of which six were selected following independent screening and eligibility assessments conducted by two reviewers. Most studies reported positive effects on objective indicators such as skeletal muscle mass, muscle strength, and physical performance, as well as on psychosocial outcomes, including quality of life. Key factors contributing to effective interventions included real-time interaction, individualized protocols, integration of face-to-face education, incorporation of AI technologies, and training in technology use and safety. However, discrepancies in intervention strategies, heterogeneity of outcomes, short intervention periods, limited follow-up, and selection biases hinder the generalizability and validation of efficacy. Conclusion: Alongside the establishment of standardized intervention guidelines, developing personalized interventions may enhance the effectiveness and feasibility of telerehabilitation exercise programs, ultimately promoting physical and mental health in older adults with sarcopenia.