Evaluating Musculoskeletal Physiotherapist's Self-Perceived Knowledge and Understanding of the Assessment, Diagnosis and Management of Degenerative Cervical Myelopathy: A Cross-Sectional Survey.

Background: Degenerative cervical myelopathy (DCM) is often inadequately managed, leading to serious long-term consequences for patients. Limited awareness of DCM among healthcare professionals may contribute to this problem.

Objective: This study aimed to assess UK-based musculoskeletal (MSK) physiotherapists' knowledge and confidence in the assessment, diagnosis, and management of DCM.

Methods: An online cross-sectional survey was conducted to gather data on MSK physiotherapists' understanding of DCM. It also explored perceived barriers to care and the value of additional training. The survey was distributed via the Chartered Society of Physiotherapy's (iCSP) website, professional networks, and social media. Responses were collected in March 2024.

Results: A total of 108 physiotherapists participated, most with over 10 years of experience. Many reported that they had not received DCM-specific training in their undergraduate programs. While most were fairly or very confident in their knowledge of DCM, subjective questioning relating to DCM, and management, nearly half expressed concern about missing a DCM diagnosis. Most participants felt they would benefit from further training.

Conclusion: MSK physiotherapists are generally confident in their assessment and management of DCM but seek more comprehensive training, especially in symptomology and non-surgical management. The findings of this survey also suggest a gap in DCM education at the undergraduate level, highlighting an opportunity to improve training for early-career physiotherapists.