Wilbarger Brushing & Joint Compressions

Wilbarger brushing and joint compressions are two therapeutic techniques commonly used by occupational therapists to help individuals with sensory processing issues. These techniques can be used to provide sensory input and improve sensory regulation, which can have a significant impact on a person’s daily functioning.

The purpose is to alter and normalize sensory processing which will assist with the child or adults ability to function within home or school setting. Brushing can have an impact on the child's social and work behaviors. Most parents notice a difference in focus, self awareness and self control.

ALWAYS CONSULT WITH AN O.T OR PROFESSIONAL FOR TRAINING

Wilbarger brushing, also known as the Wilbarger Deep Pressure and Proprioceptive Technique (DPPT), involves using a soft-bristled brush to apply a specific brushing pattern to the skin. This technique should only be performed by a trained occupational therapist, as it has specific guidelines and precautions that must be followed to ensure safety and effectiveness.

The child should be in a seated position if possible. Explain to your child about brushing and how you will do it for them and talk about the steps as you are doing them. It is best to do the procedure in a calm and quiet area. The therapist will determine the appropriate pressure and brushing pattern for the individual based on their sensory needs. The brushing pattern typically starts at the hands and moves up the arms, down the back, and then down the legs.

The therapist will use the brush to apply firm pressure in a rhythmic, linear motion, following the determined brushing pattern. The brushing should be done for a specific amount of time, typically around two minutes, and should be repeated multiple times throughout the day.

Wilbarger brushing is believed to help regulate the nervous system and improve sensory processing in individuals with sensory processing issues. It can also help with sensory seeking behaviors, such as fidgeting, pacing, and seeking out intense sensory experiences.

The brushing sensation can also provide a calming and organizing effect, reducing anxiety and promoting a sense of well-being. This can be particularly beneficial for individuals who struggle with emotional regulation and self-regulation.

Results of Brushing The results of Wilbarger brushing can vary from person to person, but many individuals report feeling more focused, calm, and less irritable after the brushing technique. Some individuals may also experience improved motor planning and coordination, as well as better body awareness.

Over time, consistent use of brushing can help individuals develop better sensory regulation and reduce their reliance on sensory-seeking behaviors. It can also help individuals become more tolerant of sensory input, making daily activities and interactions more manageable.

• approximately 40% of children appear to be mostly cured (with relapses in times of stress)
• approximately 40% make significant improvements
• 20% don’t seem to change much. (from Wilbarger training course, Brisbane, March 2007).

Behavioral, Physical, Social/Emotional Changes

Sensory processing is the ability to take in, organize, and respond to sensory information from the environment and one’s own body. Individuals with sensory processing issues may have difficulty processing and responding to sensory input, which can impact their daily functioning.

Occupational therapists are trained to assess and treat sensory processing issues using a variety of techniques, including Wilbarger brushing and joint compressions. These techniques are just one part of a comprehensive sensory integration therapy program, which may also include other activities such as swinging, jumping, and playing with different textures.

Occupational therapists work closely with individuals and their families to develop individualized treatment plans based on each person’s specific sensory needs. They also collaborate with other professionals, such as teachers and speech therapists, to ensure a holistic approach to treatment.

Wilbarger brushing and joint compressions can be effective techniques for addressing sensory processing issues. These techniques, when performed by a trained occupational therapist, can provide sensory input and help individuals develop better sensory regulation.

 If you or a loved one is struggling with sensory processing, it may be beneficial to consult with an occupational therapist to determine if these techniques would be helpful in managing symptoms and improving daily functioning.

Resources For Parents 

All About Therapy   The Wilbarger Deep Pressure and Proprioceptive Technique (DPPT) Explained - All About Therapy, PLLC

Play Works Therapy  Brush It Off! Brushing Protocol for Sensory Integration | PlayWorks Therapy Inc.

Kids Matter  Wilbarger Therapressure Protocol for Sensory Defensiveness | Kids Matters

Sensi Sensory Integration Therapy  Wilbarger Therapressure Protocol Therapy or 'brushing’ technique

TLC Kids Therapy   Sensory Brushing- what is it and how does it help with sensory integration therapy. - TLC Kids Therapy

The Child Family Institute    Wilbarger Protocol (Brushing) - Child and Family Institute

Pediatric Sensory Therapy Therapeutic Brushing Techniques | Pediatric Sensory Therapy

PediaStaff  Tactile Defensiveness: The Facts About the Wilbarger Brushing Protocol - PediaStaff

DISCLAIMER: I have learned a lot over the years but I am still learning. Always do your own research and exercise sound judgment. I am not an occupational therapist or a physician. I am an adult who has sensory processing disorder, a sensory parent and a Grandma. The information on this website is not medical advice and does not replace the information that your child's therapists or medical professionals give you. These are just ideas that I have learned myself over the years of being a parent and an adult living with SPD. If you are concerned for your child, please always seek medical attention through a family doctor, pediatrician or therapist. This website is for awareness purposes only. Each child is different and what works for one child may not for another because all children have different sensory needs. Please always consult with a medical professional. Click on links throughout each page for more resources and information. Click here for more resources https://sensoryprocessingdisorderparentsupport.com/sensoryprocessingdisorderresources

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Wilbarger Brushes