Evolução da capacidade funcional durante 18 anos num doente em hemodiálise crónica: relato de caso

Sónia Alexandra  Claro Casado; Maria Eugénia Rodrigues Mendes; Leonel São Romão Preto; Jorge Filipe Estrela Morais; Carolina Júlia Felix Vila-Cha; André Filipe Morais Pinto Novo

doi:10.33194/rper.2026.46106

Authors

Sónia Alexandra Claro Casado Tecnologia e Serviços Médicos SA. Research Centre for Active Living and Wellbeing (LiveWell) https://orcid.org/0000-0002-0868-2195
Maria Eugénia Rodrigues Mendes Instituto Politécnico de Bragança, Bragança, Portugal. Research Centre for Active Living and Wellbeing (LiveWell) https://orcid.org/0000-0001-6528-4284
Leonel São Romão Preto Instituto Politécnico de Bragança, Bragança, Portugal. Research Centre for Active Living and Wellbeing (LiveWell) https://orcid.org/0000-0002-8126-7051
Jorge Filipe Estrela Morais Instituto Politécnico de Bragança, Bragança, Portugal. Research Centre for Active Living and Wellbeing (LiveWell) https://orcid.org/0000-0002-6885-0648
Carolina Júlia Felix Vila-Cha Instituto Politécnico Cávado e Ave, Barcelos, Portugal. Centro de Investigação e Inovação em Desporto
André Filipe Morais Pinto Novo Instituto Politécnico de Bragança, Bragança, Portugal. Research Centre for Active Living and Wellbeing (LiveWell) https://orcid.org/0000-0001-8583-0406

DOI:

https://doi.org/10.33194/rper.2026.46106

Keywords:

Functional Status, Hemodialysis, Rehabilitation, Rehabilitation Nursing

Abstract

Introduction: Chronic kidney disease and hemodialysis impair functional capacity and are associated with sarcopenia and physical inactivity, which are risk factors for increased morbidity and mortality. The systematic incorporation of functional tests into the monitoring of hemodialysis patients can aid in the early identification of functional decline and the planning of individualized rehabilitation interventions.

Objective: To describe the evolution of functional capacity over 18 years in a hemodialysis patient.

Methodology: Descriptive, case report-type study, guided by the Case Report Guidelines. Three assessments of functional capacity were conducted (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: A 55-year-old man participated. Stability in the STS 30s was observed between 2007 and 2012, with 19 repetitions, followed by a decline in 2025 (13 repetitions). In the TUG, a progressive increase in time was observed, from 6 seconds in 2007 to 10 seconds in 2025. Marked reductions were recorded in handgrip strength: in the right hand, from 27kgf in 2007 to 8kgf in 2025; in the left hand, from 29kgf to 8kgf.

Discussion: A progressive decline in functional capacity was observed, which was more pronounced at the final assessment point, consistent with the literature on functional decline in hemodialysis patients.

Conclusion: A consistent and marked reduction in functionality was observed over the 18-year period, underscoring the importance of structured rehabilitation programs in mitigating the effects of aging, inactivity, and the catabolic state associated with hemodialysis.

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