Nama : Grace Juillet Samosir (GES)

NIM : 012128166307

Semester :3

Modul : Low Back Pain

Pembimbing : dr. Rr. I. Lukitra Wardhani, Sp.K.F.R., M.S. (K)

Case : Low Back Pain ec Spondylitis TB

Problem List:

ICF Code Description Patient’s Condition

Body Function
b280 Sensation of pain low back pain
B265 Touch function Sensory deficiit
B525 Defecation function Constipation
B620 Urination Urine retention
B720 Stability of joint functions Kifotic deformity
b730 Muscle power functions decrease of MMT
b440 Respiration functions decrease of cardiorespiratory endurance
b435 Immunological system Infection disease
functions
Body Structure
S120 Structure of spinal cord Spinal cord injury
s760 Structure of trunk Corpus destruction
Activities and Participations
d410 Changing basic body position Pain during trunk movement
D425 Maintaining a body position Unable upright position due to instability
of trunk
d455 Moving around Ambulation disturbance
d859 Work and employment Decrease work performance
d910 Community life Limit community life
d930 Religion and spirituality Unable to pray in normal position
Environmental Factors
e310 Immediate family Support from family
e580 Health Services, System and Health insurance BPJS
Policy
e450 Individual attitudes of health Motivation to seek treatment
professionals
Personal Factors
Gender, Age, Motivation, Education, Nutritional status
 ICF Framework

Functional Diagnosis
Low Back Pain ec Spondylitis TB

Body Function
Body Structure Activity Limitation Participation Restriction
b280Sensation of pain S120Structure of spinal cord d410Changing basic body position d859 Work and employment
B265Touch function D425Maintaining a body position d910 Community life
s760Structure of trunk d455Moving around d930 Religion and spirituality
B525Defecation function
B620Urination
B720Stability of joint functions
b730Muscle power functions
b440Respiration functions
b435Immunological system
functions

Environmental Factors Personal factor:

e310 Immediate family Gender
e580 Health Services, System and Policy Age
e450 Individual attitudes of health professionals Motivation
Education
nutritio