A system and method for measuring and/or monitoring compliance and/or quality of brace usage is provided that includes one or more straps, one or more assemblies interacting with the one or more straps, and measurement mechanism(s) associated with the strap/assembly combination to generate information related to compliance and/or quality of brace usage. The systems and methods may be retrofit to existing scoliosis braces and may be used to transmit information to remote devices and/or processors. In addition, information concerning compliance and/or quality of brace usage may be communicated to a user and/or health care provider(s), e.g., through one or more signaling elements such as aural, visual and/or haptic signaling elements associated with the at least one assembly.