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Wilbarger Protocol

edsp 536

Jana Heck

on 27 March 2011

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Transcript of Wilbarger Protocol

Wilbarger Protocol Therapy Brushes These therapy brushes are nothing more than a specific surgical brush. known as brushing but more accurately
described as deep-touch pressure Developed by Dr. Patricia Wilbarger, M.Ed.,OTR,FAOTA Renamed the Wilbarger Deep Pressure Proprioceptive Technique It is a specific, professionally guided (usually by Occupational Therapists) treatment designed to reduce sensory defensiveness. Even Occupational Therapists have to be specially trained in sensory integration and the Wilbarger DPPT before they can administer this as a therapy to a patient. Training can only come from a Wilbarger
training seminar. Brushing known as treatment designed to reduce sensory defensiveness that involves deep-touch pressure throughout the day Deep pressure is applied to skin on the arms, back and legs through a surgical brush. Use of the brush in a slow, methodical manner provides deep pressure to a wider surface area of skin. After the massage stage, joint compressions are administered to the shoulders, elbows, wrists/fingers, hips, knees, ankles, and sternum. The purpose of these are to provide additional proprioceptive input. It should only take around three minutes to complete the entire process. Initially the procedure is administered every ninety to one-hundred twenty minutes. The frequency will decrease over time until the procedure can be stopped and the child maintains the benefits of the treatment. Positive results have been reported by occupational therapists but these have not been fully validated by scientific research. Two studies showed a correlation between the use of the Wilbarger Protocol and an improvement in specific behaviors. Kimball et al (2007) found a correlation between the changes in salivary cortisol (sympathetic nervous system) and patients who received the Wilbarger Protocol. The second study found that adult participants with a psychiatric history of self-injurious behaviors had drops in percentages on the Sensory Defensiveness Screening after receiving the Wilbarger Protocol treatments. References Kimball, J.G., Lynch, K.M., Stewart, K.C., Williams, N.E., Thomas, M.A. & Atwood, K.D. (2007). UsingSalivary cortisol to measure the effects of a Wilbarger protocol-based procedure on sympathetic arousal: A pilot study. American Journal of Occupational Therapy, 61, 406-413.

Mitchell, M. (2007, December 06). The wilbarger protocol for sensory defensiveness.
The SPD Companion, (021), Retrieved fromhttp://www.sensory-processing-disorder.com on January 30, 2011.

Moore, K.A. & Henry, A.D. (2002). Treatment of adult psychiatric patients using the
Wilbarger protocol. Occupational Therapy in Mental Health, 18, 43-63.

Yack, E., Sutton, S., & Aquilla, P. (2004, September-October). Ask the expert: the wilbarger protocol for sensory defensiveness. Autism Asperger's Digest. Note how the brushing is done in one direction (proximal to distal) towards the hand or foot. The stomach and face are not brushed.
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