Scoliosis orthopedic surgery is a more traumatic surgery, postoperative to take the correct rehabilitation training methods, is to ensure that the surgery to achieve good results one of the keys to speed up the patient’s recovery and improve the quality of life of patients. 1, pulmonary function training: As scoliosis deformity patients mostly involved in the chest, resulting in long-term pressure on the lungs, the patient’s lung function is usually relatively poor. After spinal orthopedics, the chest space is increased and the lung space is expanded, so early lung function exercises are very important, and the earlier the training, the better the recovery of the patient’s lung function! (1) The correct way to cough and cough up sputum: inhale as deeply as possible, hold your breath for 1 second after inhaling, and then cough up sputum as hard as possible, trying to cough out the sputum from the lungs and airways. The strength of coughing should be such that it does not cause pain in the lungs and incision. (2) Blow up balloons: Buy a few balloons and practice blowing up balloons when you have nothing to do, so that the breathing function of the lungs can be exercised. Blow 5-10 balloons at a time, and practice about 3 times a day. At the beginning of the lung weakness, you can blow that relatively large balloon, large balloon resistance is relatively small, slowly you can blow a small balloon, small balloon resistance is greater, or not cause lung, incision pain as the standard. (3) blow into the bottle not filled with water: sealed bottle filled with about half a bottle of water, insert a straw into the water, deep inhalation, and then try to blow into the bottle, see the water bubbles emerge as effective, each training 10-15 minutes, 2-3 times a day training, in order not to cause lung, incision pain as the standard. 2, limb functional exercise: (1) 1-3 days after surgery: the incision drainage tube has not been removed, this period of time mainly in bed for training: ① spinal axial turning: the so-called axial turning refers to the head, neck, chest, waist, lower limbs together, to avoid turning when the spine is twisted, generally with the help of the nurse, the number of times to follow the arrangements of the nurse. (2) Functional training of limb flexion and extension: simple training of clenching and loosening fist, elbow flexion, elbow extension, hip flexion, knee flexion, etc. in bed. If the surgical incision is not very painful, the lower limbs can be slowly straightened and raised in bed, and the amplitude of raising should not cause pain in the incision. (2) 4-6 days after surgery: The incision drainage tube will be removed during this period, and after the drainage tube is removed, you should put on the support and move around as soon as possible. Many people think that the surgery is very traumatic and they should rest in bed for a few days. This is completely wrong. Remember, the sooner you get off the floor, the faster you will recover, which is beneficial to the rapid recovery of the lungs, gastrointestinal tract and muscle strength of the limbs. During this time, functional exercises of the whole body limbs should be carried out, such as head down, head up, neck rotation, neck lateral flexion, shoulder shrugging, upper limb lifting, abduction, rotation, lower limb kicking, foot lifting and antagonistic straight leg raising training. The intensity of the training was based on non-exertion, and the intensity was gradually increased every day. (3) 7-10 days after surgery, you can do functional exercises for the lumbar back muscles, you can refer to my article “Neck and lumbar back muscle exercises (cervical and lumbar spine health exercises, original)”, the incision has basically healed during this time, you can remove the stitches and discharge back to see recuperation. (4) After discharge to 3 months after surgery, you need to wear a strict support. Remember, as long as the upper body is upright, the brace must be worn (when bathing, you can temporarily do without it, not a big problem for a short time), and when resting in bed, you can take off the brace. You can walk moderately and climb stairs without exertion. Do not do strenuous sports, do not move your back strenuously, do not lift heavy objects, and rest more. (5) 3 months – 6 months after surgery: 3 months after surgery, return to the hospital for review and decide whether to take off the brace according to the doctor’s opinion. During this period, you can do some simple exercises, such as walking and swimming, but reduce the activities of the spine, do not do confrontational sports, do not play and play with classmates, and avoid trauma such as falls. (6) Six months-1 year after surgery: you can do some non-confrontational sports, such as jogging, brisk walking, swimming, etc., but there is also to avoid violent flexion and extension activities of the spine to avoid internal fixation fracture. (7) 1 year after surgery, you can basically return to normal daily life, general sports can be done, but can not do confrontational sports, such as basketball, soccer, etc., to avoid trauma and heavy physical labor, as well as to maintain the correct standing and sitting posture (you can refer to my article “neck and lumbar back muscle exercise (cervical and lumbar spine health exercises, original)”), because poor standing and sitting posture on the spine damage is very great, which is not conducive to the patient’s recovery. (8) Regularly return to the hospital for review after surgery, so that the doctor can give you a better rehabilitation plan according to your postoperative recovery, the review time is 3 months, 6 months, 1 year, 2 years, 3 years after surgery. 3. Gastrointestinal training: Patients often experience abdominal distention 1-3 days after surgery, which is a very normal phenomenon. Because before orthopedic surgery, the patient’s abdomen is bent to the side, after correction, the lateral bend disappears and the intestines in the patient’s body gain new space, so that the intestinal peristalsis will slow down or even disappear, and if the exhaust is not smooth, it will lead to abdominal distension. So the first 1-3 days after surgery, try to eat a liquid diet, drink thin gruel, protein powder can be, and massage the abdomen more often every day: to perform abdominal massage clockwise around the umbilicus, 30 minutes / time, 2-3 times a day, you can also do independent abdominal and anal retraction activities, 3-6 times / day, 5-10 minutes / time. If it is not relieved, you can find a doctor to perform anal canal exhaustion to expel the gas in the intestine and restore intestinal peristalsis to relieve the symptoms. Finally, remember that the post-operative rehabilitation process for spinal deformity is a constant battle, and it is important to be persistent and to remember to perform simple and brutal exercises in a hurry. The intensity of post-operative rehabilitation varies from person to person, so contact your doctor when you encounter problems and he or she will give you the best advice. Finally, I wish all patients with spinal deformities a good spine and a good life again.