By Dr. Cassie — Pediatric Physical Therapist, 20+ years experience
Hi! I’m Dr. Cassie, a pediatric physical therapist with 20 years of hands-on experience and also the proud mom of the sweet little boy you’ll see in this post. Today, I want to share something incredibly useful called the brushing protocol also known as the Wilbarger Brushing Protocol. This sensory technique has helped regulate my own child’s system and has been a game-changer for many kids I work with in the clinic.
In this blog, I’ll walk you through exactly how to follow the brushing protocol safely and correctly. It’s important to get it right—the protocol only works if it’s done the way it was designed. Let’s get into it.
Safety First: Rules Before You Start
Here are a few non-negotiables when using the brushing technique:
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Never brush the front of the body — That includes the face, chest, stomach, or groin area.
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Don’t brush babies under six months old — Some research allows for three months, but I recommend waiting until at least six months.
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Skip brushing during meltdowns or tantrums — It’s meant to calm, not overstimulate.
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Avoid brushing close to bedtime — It might actually wake them up instead of settling them down.
Think of this technique like a medication: it’s only helpful when done the right way—timing and consistency matter.
What You’ll Need
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A sensory brush – I’m using a yellow one for visibility in this post, but most are clear or white.
You can find Wilbarger-approved brushes online, like the Therapressure Brush. -
A calm, quiet space – Try to avoid distractions for a smoother session.
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Firm pressure – Press just enough to bend the bristles a little. Avoid light touch, which can actually be stimulating instead of calming.
Step-by-Step: How to Use the Wilbarger Brushing Protocol
1. Always Ask Permission
Start every session by asking, “Are you ready?” Even babies benefit from hearing this. It builds body autonomy and trust.
2. Start with the Arms
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Grip the brush firmly so it doesn’t slip.
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Begin at the fingertips, brush up the arm, then rotate slightly to cover the whole surface.
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Brush back down the arm without lifting the brush.
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Don’t go over the same spot twice.
3. Brush the Back
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Lift their shirt if they’re comfortable.
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Use a “W” or “V” motion to brush the back evenly.
4. Other Arm
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Same steps as before: fingers to upper arm, rotate, and back down. Constant pressure, no repeating areas.
5. Move to the Legs
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Start at the toes and move upward.
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Use a gentle circular motion around the legs.
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Don’t skip the soles of the feet—they’re super important.
Is It Scientifically Proven?
Let’s be honest—right now, the Wilbarger Brushing Protocol is not considered “evidence-based” in the scientific sense.
A 2012 review (Reynolds et al., Canadian Journal of Occupational Therapy) found insufficient controlled research to confirm its effectiveness.
But—and this is a big “but”—clinical experience and parent feedback tell a different story.
Personally, I’ve seen this technique help children feel calmer and more in control. My own son is visibly more regulated after brushing. The key is doing it exactly as designed.
📚 If you’re interested in the research, here’s a helpful summary:
Systematic Review of Wilbarger Protocol – ResearchGate
Don’t Forget: Joint Compressions
Brushing must always be followed by joint compressions. If you’re ever short on time, it’s better to skip brushing and just do compressions than the other way around.
Here’s how:
For Each Arm:
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Apply firm pressure in this order:
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Wrist
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Elbow
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Shoulder
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Count out loud or in your head:
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One, two, three… up to ten.
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For the Legs:
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Have your child bend their knees.
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Press gently but firmly:
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Knees to ankles (10 counts)
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Knees to hips (10 counts)
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This takes just 1–2 minutes but is a vital part of the protocol.
How Often to Do It?
Ideally, every 90 minutes to 2 hours, like a timed medication.
With focus and practice, the whole routine (brushing + compressions) takes about 2–3 minutes.
You should notice your child becoming more grounded, less reactive, and better regulated throughout the day.
Final Thoughts from a Therapist (and Mom)
The Wilbarger Brushing Protocol is one of those rare tools that’s easy to learn, quick to apply, and—when done with care—can really change the sensory experience for your child.
It’s not magic. It’s not a cure-all. But with consistency and support from your child’s occupational or physical therapist, it can make daily life just a little bit easier.
Thanks for reading! For more sensory tools, parent guides, and therapist-backed tips, be sure to follow along.
Disclaimer:
This guide is based on my professional clinical experience and is meant for educational purposes only.
Always consult your child’s occupational or physical therapist before starting any sensory protocol. Each child is different, and professional guidance ensures safety and effectiveness.
📌 Author Bio
Dr. Cassie is a licensed pediatric physical therapist with over 20 years of experience in sensory integration, developmental delays, and early childhood therapy.
