Classification of Postural Patterns

4 Major Dysfunctional Patterns


The classification of the postural patterns is based on:

  1. Position of the innominates in the sagittal plane
  2. Spinal curves (sacral and thoracic)
  3. Position of the head relative to the spine

Ideal Postural Pattern:

  • Innominates in neutral position
  • Normal sacral curve (slight convex forward)
  • Normal thoracic curve (slight convex backward)
  • Head directly over the spine (auricle directly over the outer ankle malleolus)

Flatback Postural Pattern:

  • Innominates rotated posteriorly
  • Decrease sacral curve
  • Slight increase thoracic curve (convexity backwards)
  • Head forward position

Kyphotic Postural Pattern:

  • Innominates rotated anteriorly
  • Increase sacral curve (convexity forwards)
  • Increase thoracic curve (convexity backwards)
  • Head forward position

Lordotic Postural Pattern:

  • Innominates rotated anteriorly
  • Increase sacral curve (convexity forwards)
  • Normal thoracic curve
  • Head directly over the spine

Swayback Postural Pattern:

  • Innominates rotated posteriorly
  • Decrease sacral curve (flatten)
  • Increase thoracic curve (convexity backwards)
  • Head forward position