Revista Portuguesa de Enfermagem de Reabilitação · Jun 20, 2026
Evolution of functional capacity over 18 years in a patient on chronic hemodialysis: a case report
By Casado SAC, Mendes E, Preto LSR et al.
INTRODUCTION: Chronic kidney disease and hemodialysis affect functional capacity and are associated with sarcopenia and a sedentary lifestyle, risk factors for increased morbidity and mortality. The systematic integration of functional tests into the monitoring of patients on hemodialysis may support the early identification of decline and the planning of individualized rehabilitation interventions. OBJECTIVE: To describe the evolution of functional capacity over 18 years in a patient on hemodialysis. METHODS: A descriptive case report study guided by the Case Report Guidelines. Three assessments of functional capacity were performed (2007, 2012 and 2025) using the 30-second Sit-to-Stand Test (STS 30s), the Timed Up and Go Test (TUG) and handgrip strength (HGS). RESULTS: One man, currently aged 55 years, participated. Stability in STS 30s was observed between 2007 and 2012, with 19 repetitions, followed by a decline in 2025 (13 repetitions). TUG time increased progressively, from 6 seconds in 2007 to 10 seconds in 2025. Marked reductions in handgrip strength were recorded: in the right hand, from 27Kgf in 2007 to 8kgf in 2025; in the left hand, from 29 kgf to 8kgf. DISCUSSION: A clinically relevant reduction in functional capacity was observed, more pronounced at the last assessment, consistent with the literature on functional decline in patients on hemodialysis. CONCLUSIONS: A consistent and marked reduction in functioning was observed over the 18 years, reinforcing the importance of structured rehabilitation programs to mitigate the effects of aging, inactivity and the catabolic state associated with hemodialysis.