Controlled synthesis, chiroptical characterization and manipulation of artificial helical polymers are challenging issues in modern polymer stereochemistry. Although many artificial polymers adopting a preferential screw-sense helical structure have been investigated optically active polysilylenes bearing chiral side chains may be among the most suitable to elucidate the inherent nature of the helical structure, since these polymers offer powerful spectroscopic probes as a result of their ideal chromophoric and fluorophoric main chain properties around 300-330 nm. The present paper will review comprehensively the helix-property-functionality relationship between side chain structure, global and local main chain conformation, (chir)optical properties, electronic properties, several helical cooperative phenomena, the effects of temperature and solvent polarity, and molecular imaging. This knowledge and understanding of the nature of the polysilylene helix might constitute a bridge between artificial polymers and biopolymers and will assist in designing and controlling new types of helical polymers directed to diverse screw-sense-related properties and applications in the future.