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.

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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!
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The cover of the NSPT Guide for Families, which helps families to figure out the questions to ask when picking an ABA provider.

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