Skip to main content

Table 2 Classification categories

From: Physiotherapy movement based classification approaches to low back pain: comparison of subgroups through review and developer/expert survey

Classification Scheme

Categories

Mechanical Diagnosis and Treatment

(MDT)

Derangement Syndrome ♦

a. Central & symmetrical

b. Unilateral & proximal to knee

c. Unilateral & distal to knee

Dysfunction Syndrome

a. Flexion

b. Extension

c. Lateral Shift/Side-Gliding

d. Adherent Nerve Root

Postural Syndrome â—†

Other

a. Stenosis

b. Hip

c. Sacroiliac joint

d. Mechanically inconclusive

e. Spondylolisthesis

f. Chronic pain state

Treatment Based Classification

(TBC)

Specific Exercise

a. Flexion

b. Extension

c. Lateral Shift/Side-Gliding

Manipulation ♦

Stabilization â—†

Traction* (*Prevalence unknown)

Pathoanatomic Based

Classification

(PBC)

Disc Syndrome ♦

a. Reducible

b. Irreducible

c. Non-mechanical

Nerve Root Compression

Spinal Stenosis

Zygopophyseal Joint

Postural

Sacroiliac Joint

Dysfunction

Myofascial Pain

Adverse Neural Tension

Abnormal Pain

Inconclusive â—†

Movement System

Impairment Syndromes

(MSI)

Rotation with Extension ♦

Rotation with Flexion

Rotation

Extension

Flexion â—†

O'Sullivan Classification System

(OSC)

Control Disorder

a. Multidirectional ♦

b. Flexion

c. Lateral Shift

d. Active Extension

e. Passive Extension

Movement Disorder

a. Flexion

b. Extension

c. Flexion with Rotation/Side bending

d. Extension with Rotation/Side bending

Pelvic Girdle Pain â—†

a. Form closure

b. Force closure

  1. ♦ = Most prevalent*
  2. â—† = Least prevalent* (Based on classification scheme studies and developer survey response)