Bracing the Neuromuscular Scoliotic patient has many of the same considerations discussed in our evaluation of Early Onset Scoliosis (EOS) but gives the Orthotist who is bracing a patient with Neuromuscular Scoliosis a few more factors to consider. Obviously we want to reduce the progression of the curve as well as maintain optimal respiratory function but the added challenge with Neuromuscular Scoliosis is our choice of materials in which to construct the brace. A flaccid patient tends to tolerate a more rigid brace . A spastic patient tends to be more amenable to the use of softer bracing materials. Each case is unique and brace design must take into account factors such as the existing pulmonary function , the home environment and the capability of the parents and caregivers to appropriately don and doff the brace effectively and with ease.