I. Which patients are bracing orthoses suitable for? In general, idiopathic scoliosis within 20° can be left untreated and closely monitored, and if it worsens more than 5° per year, bracing should be performed. Patients with a first diagnosis of scoliosis with a Cobb angle between 20° and 40°, with immature bones and a growth span of 18 months or more, do not yet require surgery and are recommended to undergo bracing. The goal of brace treatment is to stop the progression of scoliosis and to stop the scoliosis angle at a smaller segment. How long should I wear a brace? The duration of wear depends on the age at which the brace is started and the results of the orthosis. If the progression of scoliosis is effectively suppressed, the scoliosis is no longer progressing, and the imaging evaluation of the bones has matured (e.g., the child has not increased in height in the past year, and the girl has had her first menstrual period for more than 2 years), the brace treatment can be gradually stopped, and the brace can generally be worn only at night for half a year for overuse. How long do I need to wear the brace every day? When wearing the brace for the first time, the child may have some discomfort, so you can wear it for 1-2 hours in the first few days, and then take a break and put it on again. Except for bathing, sports activities and certain social activities when you can take off the brace for a short time, the rest of the time it is recommended to wear the brace all the time, some experts even recommend wearing it for more than 23 hours a day, so as to achieve good orthopedic effect. Fourth, we should pay attention to the impact of the brace on the respiratory and digestive systems. Long-term wearing of the brace can lead to a decrease in lung capacity and slow peristalsis of the gastrointestinal tract, etc. Therefore, we should instruct the child to do deep and slow breathing exercises every day while wearing the brace, and improve lung capacity by means of blowing up balloons and climbing stairs. In case of poor feeding of children wearing the brace, the children should be instructed to eat less and more every day, and not to eat too much at each meal, so as not to aggravate the abdominal tension of the brace due to stomach expansion. V. What are the precautions for wearing the brace? 1.Wear cotton underwear in the brace, breathable and sweat-absorbing, avoid direct contact between the brace and the body. 2.Wearing the brace generally requires 6 months of outpatient follow-up, and the full-length image of the spine is taken to assess the progress of scoliosis. 3.When wearing the brace, try to push the brace downward so that the brace is fixed to the pelvis. The principle of brace treatment is to squeeze the pelvis and thorax on both sides to make the spine grow straighter. In this process, pressure pain, redness, and even hard skin nodules and localized ulcers may occur in the areas of stress such as the pelvis and thorax. Therefore, the use of brace treatment, the child and parents should be prepared for certain ideas. 4. Parents should always pay attention to the child’s skin condition, whether there are pressure sores or skin rupture, and contact the brace-making physician for brace revision if there is. At the beginning, the child’s skin can be massaged in the pressure area, once every 3-4 hours, and the number of massages will be gradually reduced after the child gets used to the brace. 5.The side effect of wearing the brace will cause the body muscles to atrophy, so you can take off the brace for moderate aerobic exercise every day, combining active and passive exercise, which can help maintain the muscle strength, and the exercise time should be 0.5-1 hour. 6.Each time you take off the brace and wear it again, keep the front and back elasticity consistent, and make marks on the buckle of the brace so that you can wear it next time. Sixth, we should pay attention to the psychological care of the child Scoliosis children are prone to low self-esteem, and at the same time, because of the incorrect use of the brace may bring adverse reactions, and resistance, so they refuse to continue to wear the brace. Symptoms such as poor sleep, dizziness, and visual fatigue caused by great psychological stress can also lead to a range of negative emotions such as anxiety, depression, and low self-esteem. Parents should actively explain to the child the necessity of brace fixation, patiently explain and communicate, eliminate the child’s psychological burden, encourage the child to actively participate in group activities, build confidence in winning, actively obey and actively cooperate with treatment. If the child has developed a serious psychological disorder, he/she needs to go to the psychology clinic for timely consultation.