|Posted by fasd101 on September 10, 2013 at 2:35 PM|
The Wilbarger Protocol is a deep pressure technique used with students who have sensory defensiveness. The purpose
is to alter and normalise sensory processing which will assist with the students ability to function within the
school setting and impact on the students social and work behaviors.
Use the brush with a firmeven pressure. Do not sweep brush. Hold brush horizontally. Move slowly. Think of steam
cleaning and press hard enough to move the skin. Brush over clothes and or skin but do not move from skin to clothes.
ie: on arm just do skin when brushing over clothing pull it tight down to maximise pressure.
Each student should have there own brush for hygiene reasons. Always maintain contact with the person during the
brusing procedure. Use hand palm versus finger tips.
Student should be in a seated position if possible. Inform the student of the procedure to occur. Do procedure in a
calm, quiet area.
Brush arms covering as much surface area as possible, 5 stroke in a up/down motion, covering the area 2X.
Brush Palms 5X
Brush back 5X up and down and 5X side to side.
Brush other arm.
Brush legs below the knee covering as much surface as possible, % strokes in a up/down motion covering 2X.
Brush feet holding one hand on topand the other using the brush in a in a sweeping movement. Move top hand in sync
with the bottom one 5X.
This is the ideal brush and to use
Here are the handles to help reduce hand fatigue.
I have never needed them.
The Wilbarger Protocol (Wilbarger, 1991) is a specific, professionally guided treatment regime designed to reduce sensory defensiveness. The Wilbarger Protocol has its origins in sensory integration theory, and it has evolved through clinical use. It involves deep-touch pressure throughout the day. Patricia Wilbarger, M.Ed., OTR, FAOTA, an internationally recognized expert who specializes in the assessment and treatment of sensory defensiveness, developed this technique.
Ms. Wilbarger offers training courses where professionals can learn how to administer her technique and has produced videotapes, audiotapes, and other publications. At these courses, she also shares strategies for integrating the protocol into intervention plans and training parents, teachers, and other caregivers.
Following the "massage" stage, the child receives gentle compressions to the shoulders, elbows, wrists/fingers, hips, knees/ankles, and sternum. These compressions provide substantial proprioceptive input. Ms. Wilbarger feels that it is critical that joint compressions follow the use of the surgical brush, and if there is no time to complete both steps, then compressions should not be administered.
The complete routine should only take about three minutes. This technique can be incorporated into a sensory diet schedule. The procedure is initially repeated every ninety minutes. After a period of time, the frequency is reduced. Eventually the procedure can be stopped, but gains can be maintained. Some children immediately enjoy this input, and others resist the first few sessions. You may distract the child by singing or offering a mouth or fidget toy.
Some children really like the administration of this protocol and will seek out the brush and bring it to their parents, teachers, or caregivers. Other children tolerate it with little reaction, and occasionally a child is resistive. If the child continues to resist, and you see negative changes, you must reconsider the use of the technique and contact the supervising therapist. This has rarely occurred in our practice.
Behaviors to watch for, Change means the program is working
__thinking before acting
__less sensitive to smells
__less sensitive to touch
__better at beginning or completing projects
__less rigid behavior
__longer attention span
__participation in more activities
__ more appropriate
interactions with peers
__improved sleep patterns
__increased tolerance of grooming tasks
__increased independence in self-cares
__improved gross motor skills
__improved eating habits
__more physically active
__improvement in handwriting
__more touching, hugging
__more consistent energy level
__increased tolerance to clothing
__increased repertoire of foods
__improved tolerance of people
__increased self-confidence/self esteem
__more calm and relaxed
__more acting out
__increased interactions with others
__improved eye contact
Place your hand on the top of either shoulder and press down together 10X
Place hand on top of other shoulder and under elbow arm at the students side and press together 10X
Place fingers in a scissor position behind knuckle joints and hold finger streight with other hand.
Keeping joints streight press together 10X
Do the same for the other arm next.
Place hand on buttockand other at the front knee. Press together 10X, Alternatively press front of knee with
students bottom pressing against the back of the chair. Place hands on the top of both knees press down 10X.
Place other hand under clavicles on chest and other on back between shoulder blades, Press together and down 3X.
Wilbarger Protocol should be done every 90-120 minutes, 8-10 times per day for maximum effectiveness.
Even if you cannot keep up with that schedule, doing the most you can can really benefit your child.
I have seen it benefit my children.
Keep spreading awareness. This disability is 100% preventable. Together, we can eliminate it! * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Please leave me any questions or comment below, I would love to know what you think. Don't miss another posts, subscribe to our site in the box to the right. And Follow me on
Keep spreading awareness.
This disability is 100% preventable. Together, we can eliminate it!
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Please leave me any questions or comment below,
I would love to know what you think.
Don't miss another posts, subscribe to our site in the box to the right.
And Follow me on
Categories: Advocacy Helps