February 1, 2024

Wilbarger Approach & Therapeutic Brushing

The Wilbarger approach is a highly individualized intervention protocol used to treat sensory defensiveness, particularly tactile defensiveness.

The Wilbarger Approach to Sensory Defensiveness (commonly referred to as “brushing”) is a highly individualized intervention protocol used to treat sensory defensiveness, particularly tactile defensiveness. The approach consists of education, individualized sensory diet activities and intervention from a professional trained in sensory integration theory and practice.

Tactile defensiveness and hypersensitivity happens when the nervous system does not interpret touch sensations and stimulation accurately, resulting in a child responding with fear, avoidance, withdrawal, or acting out with a “fight-or-flight” response to sensory stimuli. A child’s avoidance of tactile experiences and lack of engagement in tactile play ultimately limits his learning experiences and development of gross and fine motor skills. Functional implications of tactile defensiveness include avoidance of certain clothing textures; refusal to wear socks or shoes; discomfort with bare feet in sand, grass or on carpet; irritation from tags in clothing; and becoming bothered by various, every-day touch experiences that typically would not cause alarm or issues for others.

The Wilbarger Approach to Sensory Defensiveness can be used as early as the age of 2 months and into adulthood. The protocol requires use of a specific therapeutic, surgical brush that provides deep pressure tactile input and stimulation to the child’s legs, arms, hands, feet and back. The brushing is always followed by joint compressions at the head, shoulders, trunk, arms and legs to enhance joint perception and feedback, and to re-train the child’s brain to help identify and process various tactile inputs appropriately. The goal of the approach is to help clients develop more appropriate responses to sensory experiences through the use of enhanced sensation. It is imperative to use this approach in conjunction with a sensory diet, which is a carefully designed and personalized activity plan that provides the sensory input a child needs to stay focused and organized throughout the day.

At North Shore Pediatric Therapy, our occupational therapists are trained to provide the education, individualized sensory diet activities and sensory integration intervention necessary to perform and prescribe the Wilbarger Approach to Sensory Defensiveness. If you feel your child demonstrates sensory defensive behaviors and would benefit from an intervention technique like this, please call NSPT today to schedule an occupational therapy evaluation.

Download our Guide for Families

We know that choosing a local ABA facility can be a hard decision. We’ve created an informational guide to help you understand more about the questions you should be asking while meeting with different providers.

Although we talk about our services here, our highest goal is for you to feel comfortable and knowledgeable about picking a provider that is the best fit for your needs. You are making a decision that will impact the entire trajectory of your child’s life!
Oops! Something went wrong while submitting the form.
The cover of the NSPT Guide for Families, which helps families to figure out the questions to ask when picking an ABA provider.

Continue Reading

Testimonials

Success looks different for every child... But we bet we have a story that matches your child's needs. Like James, who started with us as non-speaking and lacking the ability to initiate and maintain social interactions. Today, he can speak complete sentences, clearly state his needs, and navigate social interactions with his friends!

Our infant daughter was in physical therapy with Anna Zahn for about five months.  Anna was consistent, patient, and wonderful with our daughter.  Anna was also clear in her communications with us as parents which helped us understand our daughter's progress and needs, as well as how we could help our daughter at home.  While we are proud that our daughter graduated PT, we will miss Anna's warmth and kindness.

Emily

I love this place! Chista is an amazing person, so sweet and kind and very professional in her work. All staff are very kind with children. I feel happy to find this place for my daughter. Thank you!!!

Maria Di Rita

I cannot say enough nice things about the staff! My son worked with Khadija as his ABA therapist and is finishing up this week with his OT, Sabrina. They were really instrumental in helping us navigate a new diagnosis. Both were so easy to approach with questions. From Leeann at the front desk to the RBTs (Alex, Rabbia, Molly, and many others), we always felt so welcomed. It seems like the staff genuinely enjoy their jobs, consistently offering feedback and suggestions on how to help my son.

Jennifer Peyer

We have been working with the amazing team at NSPT for many years. They have been essential in understanding and supporting our child. I recommend their services to anyone looking for their specific type of support.Posted to

Monica Terése Carranza

They are so sweet and kinds persons with professionalism and really worried about the kids and how help they to get new skills and moving forward with knowledge.

Alejandra M.

NSPT is fantastic! All of the staff are wonderful, accomodating, and make you feel welcome and comfortable. Alan is fantastic - he has helped our family tremendously and has such patience and purpose in everything he does.

Alex Ehrhardt

North Shore Pediatric Therapy has been amazing.  They have done a great job adjusting to the specific needs of my autistic child.

Matt Nakanishi

My 12 yr old son has a lovely support team in Robert (Social Work) and Lindsay (OT)! He gains so much from his sessions & I gain so much from the communication and brainstorming! Thanks!

Jennie Meyer

Contact us to get started

  • 1
    Submit an inquiry form
    Completing this secure form helps us understand how we can serve you.
  • 2
    We'll reach out to you!
    One of our dedicated team members will connect with you to discuss services, your insurance benefits, and your family’s needs.
  • 3
    Paperwork & insurance
    We'll review and confirm your insurance benefits, and we'll work with you to gather additional paperwork required and discuss financial expectations based on insurance.
  • 4
    Treatment personalization
    We'll schedule an assessment date for your child with one of our clinicians. This assessment will serve as the basis for your child’s personalized treatment plan. After, we'll meet to discuss recommendations and your child’s treatment plan and start date.
  • 5
    Start making progress!
    We will greet and welcome your child to our warm and supportive environment where our staff will provide 1-on-1 care to meet our treatment goals.