While the full protocol should always be taught and supervised by a trained occupational therapist, here is a general overview of how the Wilbarger brushing program is typically carried out:
Step 1: Get Guidance from an Occupational Therapist
Before starting any brushing program, a trained OT must assess the individual and provide specific instructions tailored to their sensory profile. Improper implementation can be counterproductive, so professional guidance is non-negotiable.
Step 2: Use the Correct Brush
Only a proper Wilbarger Therapressure Brush — such as those made by Clipper Mill or Balta Brush (available on Amazon) — should be used. These brushes are oval-shaped with an attached handle and high-density soft bristles specifically designed for this purpose.
Step 3: Apply Firm, Even Pressure
Run the brush over the skin using firm, consistent pressure — not light, tickling strokes. The brushing should feel like a deep pressure massage.
Step 4: Follow the Body Map
Brushing begins at the arms and works down to the legs and back. The face, chest, and stomach must never be brushed, as these areas are highly sensitive and brushing them can cause adverse reactions, including nausea.
Step 5: Follow with Joint Compressions
After brushing, the therapist or caregiver performs gentle joint compressions to the shoulders, elbows, wrists, hips, knees, and ankles. Each joint is typically compressed for a count of ten.
Step 6: Repeat Consistently
Initially, the brushing routine is recommended every two hours while the child is awake. After approximately two weeks, the occupational therapist will reassess and may adjust the frequency based on the individual’s progress. The program continues for as long as the individual benefits from it.
The entire session typically takes only 2–3 minutes per round, making it highly practical to integrate into a daily routine. (Get the Clipper Mill brush on Amazon)
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