Wilbarger Brushing Protocol

Now known as, Deep pressure proprioceptive touch technique (DPPT): It was developed by two occupational therapists, Patricia MEd, OTR, FAOTA and daughter Julia Wilbarger PhD, OTR, to address sensory defensiveness. This technique requires specific training and includes three parts where first a client’s arms, back, and legs are brushed firmly with a soft bristled brush similar to a surgical brush. Then joint compressions are applied at specified joints throughout the body, and finally a sensory diet is prescribed to address sensory defensiveness.

The big issue with this is that brushing needs to be done every 2 hours, faithfully (during waking hours).  Thats important because if it isn’t it could rebound on the nervous system and create further sensory dysregulation and sensory processing difficulties. If you don’t commit to the timing, then it isn’t being done right. Also it requires the use of a special, soft, plastic surgical brush and no other kind. This brush is believed to be the most effective for the delivery of the specific type of stimulation to the nerve endings of the skin.

therapressure-brushes

therapressure-brushes