Scoliosis is a common disease that seriously endangers the growth and health of children and adolescents. The key to the management of this disease is early diagnosis and early intervention. However, because of the insidious onset of the disease, many times scoliosis is discovered by accident. Previously, especially in Western countries, many times scoliosis was detected when girls were found to have scoliosis because they wore tight, long skirts inappropriately or had one side noticeably elevated after dressing. Today, the most simple and effective method for early detection of scoliosis is the Adams (Adams) forward flexion test. The method is to make the patient’s back to the examiner, bend the body forward, both elbow joints naturally down, hands clasped, and bend the body forward to do diving or touch the toes with the fingers as far as possible. If there is a significant bulge on one side of the back or rotation of the trunk when the body is flexed forward, it is positive. Because this cosmetic deformity appears much more pronounced in forward flexion than when the patient is standing, it is widely used to screen for adolescent scoliosis in schools or gymnasiums. In the girl in the picture below, the deformity is not obvious when she is standing upright, but when the Adams forward flexion test is performed, the elevation of the ribs on one side due to the rotation of the vertebrae is very obvious, which is what we call a “razor back”. Therefore, for parents who suspect that their child has scoliosis, if it is difficult to judge when the child is standing, it is best to have a standard Adams forward flexion test done. If you find or suspect that the child’s back or waist is not horizontal, you should come to the hospital to further confirm the diagnosis and to intervene early if necessary.