Wearing a brace is one of the main methods for non-surgical treatment of scoliosis. Because the brace is worn for a long time, and there will be a lot of discomfort in the wearing process, it is difficult for children to adhere to it for a long time. In view of this situation, we guide children to wear braces correctly; Strengthen functional exercise during wearing braces, including lumbar muscle exercise, spinal active movement and spinal gymnastics, and psychological care for children.
 
1) Prevent skin pressure ulcers
First of all, focus on checking whether the support is suitable for children, teaching parents and children the correct way to wear the support, and massage the skin of the pressurized parts of children every 3 to 4 hours, and gradually reduce the number of massage after children adapt to wear the support. For the children who wear it for the first time, they should also explain to their parents repeatedly, and contact the support room in time to replace or adjust the place where the support has not fit.  
2) Prevention and treatment of respiratory and digestive system symptoms
Wearing braces for a long time may affect respiratory and digestive functions, leading to decreased respiratory mobility and vital capacity, and respiratory tract is vulnerable to pathogens. Therefore, children are instructed to do deep and slow breathing exercises every day while wearing braces, and improve lung capacity by blowing balloons and climbing stairs. In the case of poor food intake in children wearing braces, children should be instructed to eat a small number of meals every day, and each meal should not be too full, so as not to aggravate the abdominal tension of braces due to stomach distention.
 
3) Prevent muscle weakness
Children wearing braces may cause decreased muscle strength and muscle atrophy due to reduced activities, so children carry out active and passive combined movement of limbs. At the same time, according to the children's muscle strength level to select muscle strength exercise projects, using active exercise or resistance exercise. During the wearing of braces, strengthen the activities of each joint to maintain a good range of joint motion.
 
4) Prevent swelling, numbness and nerve damage
If there is obvious discomfort after using the support, it is necessary to observe whether there is pain in the pressure pad, and whether there is pain, swelling and numbness in the limbs. It is also necessary to closely observe the feeling of both lower limbs, including the movement of knee, ankle and toe joints. If there is any abnormality, contact or go to the hospital to find out the reason, adjust the support, or replace the support in serious cases.
 
5) Spinal gymnastics training
Gymnastics training can improve children's posture and spinal mobility, increase lumbar muscle strength and ligament tension. Gymnastic training should follow the principle of first slow then fast, step by step, persistent, insist on training every day, no sense of fatigue, tolerance.
 
6) Psychological care
Children with scoliosis are prone to inferiority complex and psychological disorders. At the same time, due to adverse reactions caused by incorrect use of braces, they may have resistance and cannot insist on wearing braces. According to the specific situation of children, actively explain the necessity of brace fixation to parents and children, patiently explain and communicate, eliminate the psychological burden of children, encourage children to actively participate in collective activities, establish confidence to win, take the initiative to obey and actively cooperate with the treatment.