Encouraging Compliance With bracing
Bracing is intended to prevent progression of the curve but does not correct the current curve. Although modern braces display an improved appearance, with no visible neckpiece, and can be worn under clothes, many adolescents are not compliant with brace wear. The brace must be worn 23 hours per day to prevent curve progression. Many factors may contribute to noncompliance, including the discomfort associated with brace wear such as pain, heat, and poor fit. The family environment may not be conducive to compliance with brace wear, and teenagers are very concerned about body image.
Inspect the skin for evidence of rubbing by the brace that may impair skin integrity. Teach families appropriate skin care and recommend they check the brace daily for fit and breakage. Encourage the teen to shower during the 1 hour per day that the brace is off and to ensure that the skin is clean and dry before putting the brace back on. Wearing a cotton T-shirt under the brace may decrease some of the discomfort associated with brace wear. Exercises to strengthen back muscles may prevent muscle atrophy from prolonged bracing and maintain spine flexibility.
Promoting Positive Body Image
Encouraging Compliance With bracingBracing is intended to prevent progression of the curve but does not correct the current curve. Although modern braces display an improved appearance, with no visible neckpiece, and can be worn under clothes, many adolescents are not compliant with brace wear. The brace must be worn 23 hours per day to prevent curve progression. Many factors may contribute to noncompliance, including the discomfort associated with brace wear such as pain, heat, and poor fit. The family environment may not be conducive to compliance with brace wear, and teenagers are very concerned about body image.Inspect the skin for evidence of rubbing by the brace that may impair skin integrity. Teach families appropriate skin care and recommend they check the brace daily for fit and breakage. Encourage the teen to shower during the 1 hour per day that the brace is off and to ensure that the skin is clean and dry before putting the brace back on. Wearing a cotton T-shirt under the brace may decrease some of the discomfort associated with brace wear. Exercises to strengthen back muscles may prevent muscle atrophy from prolonged bracing and maintain spine flexibility.Promoting Positive Body Image
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