wilbarger brushing protocol instructions pdf
What is the Wilbarger Brushing Protocol?
The Wilbarger Deep Pressure and Proprioceptive Technique (DPPT), also known as the Wilbarger Brushing Protocol, is a sensory integration technique designed to help individuals with sensory processing difficulties, particularly tactile defensiveness. This protocol involves a specific method of brushing and joint compressions, aiming to provide deep pressure stimulation and promote sensory regulation.
Background and History
The Wilbarger Brushing Protocol, formally known as the Wilbarger Deep Pressure and Proprioceptive Technique (DPPT), was developed by Patricia Wilbarger, an occupational therapist. She pioneered the field of sensory processing, creating this protocol based on the theory of Sensory Integration. This theory posits that the brain organizes sensory input to help individuals interact effectively with their environment. The Wilbarger Brushing Protocol is a highly individualized intervention protocol, designed to help treat sensory defensiveness, particularly tactile defensiveness, by providing a structured approach to deep pressure stimulation.
The Theory Behind the Protocol
The Wilbarger Brushing Protocol is grounded in the theory of Sensory Integration, developed by Dr. A. Jean Ayres. This theory proposes that the brain organizes sensory input from various sources, including touch, movement, sight, sound, smell, and taste, to enable individuals to interact effectively with their environment. Sensory Integration aims to help the brain process sensory information more efficiently. The Wilbarger Brushing Protocol is a specific application of this theory, utilizing deep pressure and proprioceptive input through brushing and joint compressions. This approach helps individuals with sensory processing difficulties, particularly tactile defensiveness, to better organize and regulate their sensory experiences.
How the Wilbarger Brushing Protocol Works
The Wilbarger Brushing Protocol involves two key components⁚ a specific brushing technique and a series of joint compressions.
The Brushing Technique
The brushing technique utilizes a specific type of brush, often a soft, plastic sensory brush or Therapressure Brush, to apply firm, even pressure to the skin. The brush is held horizontally and moved slowly in a sweeping motion, covering a large surface area of the body. The goal is to provide deep pressure stimulation, not to scrub or massage the skin. The pressure should be firm enough to bend the bristles of the brush, but not so forceful that it causes pain or discomfort. The brushing is typically done over clothing, and the therapist or caregiver should observe the child’s reaction to ensure they are comfortable with the pressure.
The brushing sequence involves systematically covering the entire body, starting with the arms, then moving to the back, legs, and finally the feet. Each area is brushed for a specific duration, usually three to five strokes, and the brush is moved smoothly and continuously without lifting it from the skin.
Joint Compressions
Joint compressions are an integral part of the Wilbarger Brushing Protocol and are performed immediately after the brushing sequence. They involve applying firm pressure to the major joints of the body, such as the elbows, knees, wrists, ankles, and shoulders. This pressure helps to provide proprioceptive input, which is the sense of body position and movement.
The joint compressions can be performed in a variety of ways, including⁚
- Holding the joint firmly for several seconds
- Gently squeezing the joint
- Rotating the joint through its range of motion
The therapist or caregiver should use appropriate pressure and technique to ensure the child’s comfort and safety. The number of repetitions for each joint compression typically ranges from five to ten.
Benefits of the Wilbarger Brushing Protocol
The Wilbarger Brushing Protocol offers numerous potential benefits for individuals with sensory processing difficulties, including improved sensory regulation, increased attention and focus, and reduced anxiety.
Sensory Regulation
One of the primary benefits of the Wilbarger Brushing Protocol is its ability to promote sensory regulation. Sensory processing difficulties can lead to a range of challenges, such as oversensitivity to touch, difficulty with transitions, and struggles with self-regulation. The deep pressure stimulation provided by the brushing technique helps to calm and organize the nervous system, reducing sensory defensiveness and promoting a sense of grounding. By providing a predictable and calming sensory input, the protocol can help individuals become more comfortable with their bodies and their environment, leading to improved overall sensory regulation.
Improved Attention and Focus
The Wilbarger Brushing Protocol can positively impact attention and focus by helping to reduce sensory overload and improve self-regulation. When individuals are overwhelmed by sensory input, it can be difficult for them to concentrate and focus on tasks. The deep pressure stimulation provided by the protocol helps to calm the nervous system, reducing sensory defensiveness and allowing individuals to better process sensory information. This, in turn, can lead to improved attention span, reduced distractibility, and an increased ability to focus on tasks, both in academic and social settings. By addressing sensory processing challenges, the protocol can create a more stable and organized internal environment, making it easier for individuals to engage in activities that require sustained attention.
Reduced Anxiety
The Wilbarger Brushing Protocol can contribute to reduced anxiety by directly targeting sensory processing issues that often underlie anxiety. Sensory processing difficulties can lead to heightened sensitivity to touch, sound, light, or other sensory stimuli, triggering feelings of overwhelm and anxiety. The protocol’s deep pressure stimulation and joint compressions provide a calming and organizing effect on the nervous system, helping to regulate sensory input and reduce sensory defensiveness. This can lead to a decrease in anxiety levels, as individuals feel more grounded and in control of their sensory experiences. By addressing the underlying sensory challenges, the protocol can empower individuals to better manage their anxiety and experience a sense of calm and well-being.
How to Use the Wilbarger Brushing Protocol
The Wilbarger Brushing Protocol involves a specific sequence of brushing and joint compressions, tailored to individual needs.
Essential Supplies
To implement the Wilbarger Brushing Protocol effectively, you will need a few essential supplies. The primary tool is a sensory brush, specifically designed for deep pressure stimulation. This brush should have soft, dense bristles that bend under pressure, allowing for a comfortable and effective brushing experience. A standard surgical scrub brush can also be used. In addition to the brush, you might find it helpful to have a timer to track the duration of brushing sessions and a comfortable, quiet space where the individual can relax during the protocol. It’s important to note that these are general guidelines, and your occupational therapist will guide you on the specific supplies and materials most suitable for your needs.
Step-by-Step Instructions
The Wilbarger Brushing Protocol involves a specific sequence of brushing and joint compressions. To begin, use the sensory brush to apply firm pressure to the individual’s hands, arms, back, legs, and feet. Each body part should receive three steady swipes, ensuring that the brush bristles bend but avoiding back-and-forth motions; After brushing, proceed to joint compressions, gently squeezing each major joint in the body, including elbows, knees, ankles, wrists, and fingers, ten times each. Remember to use a firm but comfortable pressure throughout the protocol. It’s essential to follow your occupational therapist’s guidance for specific brushing techniques, pressure levels, and joint compression methods tailored to the individual’s needs.
Frequency and Duration
The frequency and duration of the Wilbarger Brushing Protocol are highly individualized and depend on the specific needs of the individual. Typically, brushing is recommended every two hours while the individual is awake, with each session lasting approximately two to three minutes. This consistent, regular application helps to maintain sensory regulation and minimize sensory defensiveness. However, it’s crucial to note that the frequency and duration of the protocol may be adjusted based on the individual’s response and progress. Your occupational therapist will provide personalized recommendations and monitor the effectiveness of the protocol, adjusting the frequency and duration as needed. Remember to always follow your therapist’s instructions for optimal results and to ensure the safety and well-being of the individual.
Safety and Precautions
The Wilbarger Brushing Protocol should only be performed under the guidance of a trained occupational therapist;
Professional Guidance
The Wilbarger Brushing Protocol is a specialized intervention requiring professional guidance. It is crucial to consult with an occupational therapist experienced in sensory integration and the Wilbarger approach. They can assess your child’s individual needs, determine the appropriate frequency and duration of brushing sessions, and provide tailored instructions for parents or caregivers. An occupational therapist can also help you understand the nuances of the brushing technique, ensuring proper pressure application and ensuring safety. They can address any concerns you may have about the protocol and provide ongoing support throughout the treatment process. Remember, the Wilbarger Brushing Protocol is not a one-size-fits-all approach and requires professional oversight to maximize its effectiveness and ensure its safe and appropriate use.
Potential Side Effects
While the Wilbarger Brushing Protocol generally has a positive impact, it’s essential to be aware of potential side effects. Some individuals may experience temporary discomfort or even mild pain during brushing, especially if they have sensitive skin or are particularly tactile-defensive. It’s crucial to communicate any discomfort or pain to the occupational therapist, who can adjust the pressure or technique accordingly. In rare cases, individuals may experience increased anxiety or agitation during or after brushing. If this occurs, it’s crucial to stop the brushing session and consult with the occupational therapist. They can evaluate the situation and determine whether a different approach or modifications are needed; It’s important to remember that these side effects are uncommon and typically resolve quickly with appropriate adjustments and professional guidance.
The Wilbarger Brushing Protocol can be a valuable tool for individuals with sensory processing difficulties, providing a structured approach to sensory regulation and promoting overall well-being.
The Importance of Occupational Therapy
Occupational therapy plays a crucial role in the implementation and success of the Wilbarger Brushing Protocol. Occupational therapists are trained professionals who specialize in helping individuals develop the skills they need to participate in everyday activities. They have a deep understanding of sensory processing and its impact on a person’s ability to function.
Occupational therapists can assess an individual’s sensory needs and develop a personalized treatment plan that includes the Wilbarger Brushing Protocol, if appropriate. They will provide comprehensive instructions on the proper brushing technique, joint compressions, and frequency. Additionally, therapists can educate parents, caregivers, and teachers on how to implement the protocol effectively at home or in other settings.
The expertise of occupational therapists is vital for ensuring that the Wilbarger Brushing Protocol is used safely and effectively, maximizing its potential benefits for the individual.
Resources and Further Information
For those seeking more detailed information and guidance on the Wilbarger Brushing Protocol, several resources are available. Books, articles, and online platforms provide comprehensive explanations of the protocol, including its history, theoretical basis, and practical application.
Organizations dedicated to sensory processing and occupational therapy often offer educational materials and workshops on the Wilbarger Brushing Protocol. These resources can help individuals, families, and professionals gain a deeper understanding of the technique and its potential benefits.
It is important to note that the Wilbarger Brushing Protocol should be implemented under the supervision of a qualified occupational therapist. Consulting with a professional ensures the safe and effective use of the protocol, tailored to individual needs and circumstances.