Journal of Physical Therapy and Health Promotion
Journal of Physical Therapy and Health Promotion(PTHP)
Frequency: Annually
Allied Health Professionals as Potential Partners in Oral Health Promotion and Primary Prevention: A Pilot Assessment of Physiotherapy students in Bangalore, India
Purpose: Oral health promotion is critical in limiting morbidity and socioeconomic costs of the Oral disease pandemic. Physiotherapists, in particular, are ideally suited to advancing common risk-factor based oral health promotion, given the nature of their clinical practice and stated professional commitment to health promotion. Since feasibility of this partnership is influenced by their Knowledge, Attitude, and Behavior (KAB) towards Oral health, this study aims to assess these parameters among students of Physiotherapy in Bangalore, and determine the effectiveness of an Oral Health Intervention Module (OHIM) on the same. Methods: A quasi-experimental pilot study was conducted among 66 students of a Physiotherapy institution in Bangalore, India. Participants completed questionnaires consisting of 25 closed-ended, multiple – choice questions assessing oral health KAB, pre-post OHIM. Results: Overall knowledge regarding oral health was good, but personal oral health seeking attitudes and behaviors were infrequent. 61.9%-90.4% of respondents correctly answered most questions assessing Knowledge. 71.4% agreed treatment of oral disease was as important as other diseases. 48.7% would not visit a Dentist unless they had dental complaints. Preventive behaviors including oral prophylaxis (17.9%), and routine check-ups (26.9%) were low. Significant improvement in oral health KAB following OHIM, with maximum impact on mean scores of Knowledge (2.74), followed by Attitude (0.7) and Behaviour (0.35). Conclusions: This study highlights need to strengthen and reinforce positive oral health attitudes and behaviours among physiotherapy students. Besides motivating personal beliefs and behaviours, incorporation of practical training in professional curricula would equip Physiotherapists with competency in promoting oral health in clinical practice.
Keywords:Oral Health; Physiotherapy; Oral Health Promotion; Knowledge; Attitude; Behaviour; Allied Health
Author: Shravanthi Manyam Seshasayee,Vinodhini Krishna,Charu Chitra Govindan,Harikiran Govindaraju Arkalgud


  1. C Hein, DJ Schönwetter, and AM Iacopino, “Inclusion of oral-systemic health in predoctoral/undergraduate curricula of pharmacy, nursing, and medical schools around the world: a preliminary study,” J Dent Educ., vol. 75(9), pp. 1187-1199, Sept. 2011.
  2. PE Petersen, D Bourgeois, H Ogawa, S Estupinan-Day, and C Ndiaye, “The global burden of oral diseases and risks to oral health,” Bull World Health Organ, vol. 83(9), pp. 661-669, 2005.
  3. KV Reddy, “Time to implement national oral health policy in India,” Indian J Public Health, vol. 58(4), pp. 267-269, 2014.
  4. W Marcenes, NJ Kassebaum, E Bernabe, A Flaxman, M Naghavi, A Lopez, et al., “Global burden of oral conditions in 1990-2010: a systematic analysis,” J Dent Res., vol. 92(7), pp. 592-597, July 1, 2013.
  5. M Mathur, A Singh, and R Watt, “Addressing inequalities in oral health in India: need for skill mix in the dental workforce,” J Fam Med Prim Care, vol. 4(2), pp. 200-202, 2015.
  6. S Balaji, “Burden of oral diseases,” Indian J Dent Res., vol. 27(2), pp. 115, 2016.
  7. Global Adult Tobacco Survey India Report 2009-2010 [Internet]. India: Ministry of Health and Family Welfare; 2010. Available from:
  8. A Treerutkuarkul and K Gruber, “Prevention is better than treatment,” Bull World Health Organ., vol. 93(9), pp. 594-595, Sept. 1, 2015.
  9. The World Bank. Health expenditure, total (% of GDP) | Data [Internet]. 2016 [cited 2016 Aug 31]. Available from:
  10. PH Bhoopathi, PRP Reddy, A Kotha, M Mancherla, P Boinapalli, and A Samba, “Oral health related knowledge, attitude and practices among the primary health care workers of a district in India,” J Int Soc Prev Community Dent., vol. 4(Suppl 1), pp. S11-17, Nov. 2014.
  11. AR Ketkar, SK Veluswamy, N Prabhu, and AG Maiya, “Screening for noncommunicable disease risk factors at a workplace in India: A physiotherapy initiative in a healthcare setting,” Hong Kong Physiother J., vol. 33(1), pp. 3-9, June 2015.
  12. L Roberts and SJ Bucksey, “Communicating with patients: what happens in practice?,” Phys Ther., vol. 87(5), pp. 586-594, May 2007.
  13. J Tracey, “Inside the clinic: health professionals’ role in their clients’ psychological rehabilitation,” J Sport Rehabil., vol. 17(4), pp. 413-431, 2008.
  14. RS Van Zant, KJ Cape, K Roach, and J Sweeney, “Physical therapists’ perceptions of knowledge and clinical behavior regarding cardiovascular disease prevention,” Cardiopulm Phys Ther J., vol. 24(2), pp. 18-26, 2013.
  15. AD Deshpande, EA Dodson, I Gorman, and RC Brownson, “Physical activity and diabetes: opportunities for prevention through policy,” Phys Ther., vol. 88(11), pp. 1425-1435, Nov. 1, 2008.
  16. RM Pignataro, PJ Ohtake, A Swisher, and G Dino, “The role of physical therapists in smoking cessation: opportunities for improving treatment outcomes,” Phys Ther., vol. 92(5), pp. 757-766, 2012.
  17. HR Glazer-Waldman, JP Hart, and BF LeVeau, “Health beliefs and health behaviors of physical therapists,” Phys Ther., vol. 69(3), pp. 204-210, 1989.
  18. K Rajiah and CJ Ving, “An assessment of pharmacy students’ knowledge, attitude, and practice toward oral health: an exploratory study,” J Int Soc Prev Community Dent., vol. 4(Suppl 1), pp. S56-62, Nov. 2014.
  19. LS Kaira, V Srivastava, P Giri, and D Chopra, “Oral health-related knowledge, attitude and practice among nursing students of Rohilkhand Medical College and Hospital: a questionnaire study,” J Orofac Res., vol. 2(1), pp. 20-23, Mar. 2012.
  20. S Priya, PD Madan Kumar, and S Ramachandran, “Knowledge and attitudes of pharmacists regarding oral health care and oral hygiene products in Chennai city,” Indian J Dent Res Off Publ Indian Soc Dent Res., vol. 19(2), pp. 104-108, June 2008.
  21. WHO | Health promotion [Internet]. WHO. 2016 [cited 2016 Aug 3]. Available from:
  22. D Whitehead, “Health promotion and health education: advancing the concepts,” J Adv Nurs., vol. 47(3), pp. 311-320, Aug. 2004.
  23. DJ Mattheus, “Efficacy of oral health promotion in primary care practice during early childhood: creating positive changes in parent’s oral health beliefs and behaviors,” Oral Health Dent Manag., vol. 13(2), pp. 316-319, June 2014.
  24. ME Bodner, WC Miller, RE Rhodes, and E Dean, “Smoking cessation and counseling: knowledge and views of Canadian physical therapists,” Phys Ther., vol. 91(7), pp. 1051-1062, 2011.
  25. MA Baseer, MS Alenazy, M AlAsqah, M AlGabbani, and A Mehkari, “Oral health knowledge, attitude and practices among health professionals in King Fahad Medical City, Riyadh,” Dent Res J., vol. 9(4), pp. 386-392, 2012.
  26. TN Mohd-Dom, SM Said, and ZZ Abidin, “Dental knowledge and self-reported oral care practices among medical, pharmacy and nursing students,” J Sains Kesihat Malays., vol. 7(1), pp. 13-23, 2009.
  27. S Usman, SS Bhat, and SS Sargod, “Oral health knowledge and behavior of clinical medical, dental and paramedical students in Mangalore,” J Oral Health Comm Dent., vol. 1(3), pp. 46-48, 2007.