Table 11 Recommendations for physical therapies
From: Consensus based recommendations for diagnosis and medical management of Poland syndrome (sequence)
Grade | Consensus agreement | ||
|---|---|---|---|
R11.67 | It’s necessary to monitor vertebral column and thoracic symmetry during the growth | Definitely useful/strong literature | 100% |
R11.68 | To evaluate scapulo-thoraco-humeral dynamics is recommended | Possibly useful/modest literature | 100% |
R11.69 | To evaluate symmetry of development of the upper limb muscular masses is recommended | Possibly useful/modest literature | 100% |
R11.70 | Pysiatrist visit to assess the feasibility of a reconstructive intervention of transposition of the gran dorsal muscle is recommended | GCP (no literature available) | 66,7% |
R11.72 | To evaluate use of upper limb gestures is recommended | GCP (no literature available) | 100% |
R11.73 | The following evaluations to correct aesthetic/functional balance are highly recommended and must be supportive in surgery decision: a) to monitor the step of psycho-motor development in the upper limb use, b) to evaluate the active and passive range of motion if are different, c) to evaluate the single prehensile movements age-related and to observe the preferred patterns of usage, d) to measure the pinch and grip strength | Possibly useful/modest literature | 100% |