Telerehabilitation With Multicomponent Exercise for Older Adults With Multiple Chronic Conditions

The goal of this clinical trial is to learn if a multicomponent exercise program delivered through telerehabilitation improves physical fitness and quality of life in older adults with multiple chronic conditions living in Antioquia, Colombia. The main questions it aims to answer are: Does telerehabilitation with multicomponent exercise improve physical performance compared to home-based physiotherapy provided in person by a physiotherapist? Does this program enhance participants' quality of life and functional independence? Participants will: Join a 12-week exercise program with two 45-minute online sessions per week, led by a physiotherapist through Microsoft Teams. Perform exercises including aerobic, strength, flexibility, and balance training, adapted to their health condition. Complete pre- and post-intervention assessments of physical function (Senior Fitness Test, SPPB) and quality of life (WHOQOL-BREF). Researchers will compare the telerehabilitation group to a home-based physiotherapy group, in which physiotherapists visit participants at their homes, to determine whether the online multicomponent exercise intervention is effective, safe, and feasible for older adults with multiple chronic conditions.