Efficacy of the Wilbarger Therapressure Program™ to Modulate Arousal in Women with Post-Traumatic Stress Disorder: A Pilot Study Using Salivary Cortisol and Behavioral Measures

Kimball, Judith Giencke; Cao, Lei; Draleau, Kyle

doi:10.1080/0164212x.2017.1376243

Cited by 3 publications

(7 citation statements)

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“…In the research which specifically and empirically assessed sensory processing skills, there were n = 457 participants (Engel-Yeger et al, 2013;Engel-Yeger et al, 2015;Serafini et al, 2016), with one of these studies (n = 1) also including a sensory-based treatment approach and psychotherapy intervention . Sole Occupational Therapy intervention accounted for n = 4 study participants (Kimball et al, 2018). N= 10 participants took part in a sensory integration (SI) treatment as an adjunct to psychotherapy treatment and n = 10 adolescents participated in a Records identified through database searching: Medline (n=100), CINAHL (n = 9), PSYCHINFO (n = 149), AMED (n = 3), COCHRANE (n = 1), EMBASE Source: Moher et al (2009) Sensory-based interventions sensory motor arousal regulation treatment (SMART) with a control of n = 21 participants receiving psychotherapy treatment as usual (TAU).…”

Section: Resultsmentioning

confidence: 99%

“…This process of symptom categorisation, mostly using the diagnostic and statistical manual of mental disorders (DSM; APA, 2013) criteria, is not without its problems (Whalley Hammell, 2007) and raises methodological issues when outcomes are based on the diagnostics and measurement of symptoms using instruments arising from debated criteria that do not include a complex trauma framework (van der Kolk et al, 2009;Maercker et al, 2018). All but one study (Parker et al, 2007) used DSM criteria for diagnostics and outcome measurement, with one study using participant-reported diagnosis of PTSD as the criterion (Kimball et al, 2018). Therefore, the findings of studies based on these criteria Engel-Yeger, 2013, 2015Harper et al, 2006;Kaiser et al, 2010;Serafini et al, 2016;Warner et al, 2014) must be carefully considered.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the use of non-standardised measurement tools such as those used by reduces the rigour of a study. Considering the work of Harper et al (2006) and validation of the Canadian Occupational Performance Measure (COPM, Law et al, 2005) in a PTS programme, the outcomes for two of the studies Kimball et al, 2018) might have been more persuasive had such an instrument been adopted.…”

Section: Discussionmentioning

confidence: 99%

“…Individual sensory treatment programmes where developed and informed by a sensory profiling assessment (AASP: Brown and Dunn, 2002). Kimball et al (2018) described a specific sensory treatment protocol, the "Wilbarger Therapressure Programme" (WTP), which for the purposes of this study involved the participants applying very deep touch pressure to their skin through using a special Therapressure TM brush and firm joint compression. Serving as their own controls for the single-subject design methodology, two of the four participants, all with a self-reported diagnosis of PTSD, showed positive change on all outcome ratings, increased occupational performance and modulation of salivary cortisol levels (Kimball et al, 2018).…”

Section: Type Of Sensory-based Intervention With Trauma Survivorsmentioning

confidence: 99%

“…A 20 per cent attrition rate was noted in this small study, and the reasons for this are not adequately addressed in this instance. The studies reviewed varied in the type of sensory-based intervention or technique used including preparatory, purposeful and occupation-based activities Kaiser et al, 2010;Kimball et al, 2018), which may form part of a transdisciplinary treatment programme (Holland et al, 2018;Parker et al, 2007;Warner et al, 2014).…”

Section: Sensory-based Interventionsmentioning

confidence: 99%

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Sensory-based interventions with adult and adolescent trauma survivors

McGreevy

Boland

2020

IJOT

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Purpose An emerging evidence base, and increased awareness of the effects of trauma on the body, advocates a sensory-based approach to treatment with posttraumatic stress and complex trauma survivors. This paper aims to identify, analyse and summarise the empirical evidence for the sensory-based interventions, which occupational therapists are using in the treatment of adult and adolescent trauma survivors. Design/methodology/approach An integrative review of the literature was undertaken. Both empirical and conceptual papers were included. An inductive approach and constant comparative method were used to understand and synthesise the research. Findings The literature search yielded 18 papers describing the types of sensory-based interventions used, sensory processing (SP) patterns and the context and evidence for sensory-based occupational therapy practice with trauma survivors. Nine of the studies were empirical and nine were conceptual and review papers. Themes identified included: atypical SP patterns; type of sensory-based intervention used with trauma survivors; and transdisciplinary treatment programmes can reduce the symptoms of trauma. Practical implications Sensory-based interventions with adult and adolescent trauma survivors are emerging as promising areas of practice and research in the literature. Although empirical data is limited, the sensory needs of the body in processing trauma experiences is becoming more recognised and are supported by the atypical SP patterns identified in survivors. A sensory-based, transdisciplinary approach to treatment has the potential to be effective in treating the trauma survivor. Originality/value With a skill base in sensory integration and occupational analysis, occupational therapists have much to offer the field of trauma studies. This review begins to address the gap in the literature, recommending more rigorous controlled outcome research with larger sample sizes, person-centred studies focussing on the trauma survivor’s perspective and continuing professional development and mentorship for occupational therapists working with this population.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Type Of Sensory-based Intervention With Trauma Survivorsmentioning

confidence: 99%

Section: Sensory-based Interventionsmentioning

confidence: 99%

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Sensory-based interventions with adult and adolescent trauma survivors

McGreevy

Boland

2020

IJOT

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Sensory Modulation Challenges: One Missing Piece in the Diagnosis and Treatment of Veterans with PTSD

Kimball

2022

Occupational Therapy in Mental Health

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Exploring the contribution of case study research to the evidence base for occupational therapy: a scoping review

McQuaid,

Thomson,

Bannigan

2023

Syst Rev

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Background Case study research is generating interest to evaluate complex interventions. However, it is not clear how this is being utilized by occupational therapists or how feasible it is to contribute to the evidence base. This scoping review explores case study research within occupational therapy in terms of how it is defined, the methodological characteristics adopted, such as data collection and analysis, and the range of practice contexts in which it is applied. We consider the viability of case study research for contributing to our evidence base. Methods Opinion, text and empirical studies within an occupational therapy practice context were included. A three-step extensive search following Joanna Briggs Institute methodology was conducted in June 2020 and updated in July 2021 across ten databases, websites, peer-reviewed and grey literature from 2016 onwards. Study selection was completed by two independent reviewers. A data extraction table was developed and piloted and data charted to align with research questions. Data extraction was completed by one reviewer and a 10% sample cross checked by another. Results Eighty-eight studies were included in the review consisting of (n = 84) empirical case study and (n = 4) non-empirical papers. Case study research has been conducted globally, with a range of populations across different settings. The majority were conducted in a community setting (n = 48/84; 57%) with populations experiencing neurodevelopmental disorder (n = 32/84; 38%), stroke (n = 14/84;17%) and non-diagnosis specific (n = 13/84; 15%). Methodologies adopted quantitative (n = 42/84; 50%), mixed methods (n = 22/84; 26%) and qualitative designs (n = 20/84; 24%). However, identifying the methodology and ‘case’ was a challenge due to methodological inconsistencies. Conclusions Case study research is useful when large-scale inquiry is not appropriate; for cases of complexity, early intervention efficacy, theory testing or when small participant numbers are available. It appears a viable methodology to contribute to the evidence base for occupation and health as it has been used to evaluate interventions across a breadth of occupational therapy practice contexts. Viability could be enhanced through consistent conduct and reporting to allow pooling of case data. A conceptual model and description of case study research in occupational therapy is proposed to support this. Systematic review registration Open Science Framework 10.17605/OSF.IO/PCFJ6.

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Efficacy of the Wilbarger Therapressure Program™ to Modulate Arousal in Women with Post-Traumatic Stress Disorder: A Pilot Study Using Salivary Cortisol and Behavioral Measures

Cited by 3 publications

References 12 publications

Sensory-based interventions with adult and adolescent trauma survivors

Sensory-based interventions with adult and adolescent trauma survivors

Sensory Modulation Challenges: One Missing Piece in the Diagnosis and Treatment of Veterans with PTSD

Exploring the contribution of case study research to the evidence base for occupational therapy: a scoping review

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