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Movement library
DexterityFingersThumbPhases 3, 4

Palm-to-fingertip translation

In-hand manipulation: palm-to-finger translation

Critical in-hand manipulation skill for daily tasks.

Best for

  • Fine motor refinement

Default dose

2 min • 1×/day

Equipment

Coins

Avoid when

  • Acute pain with grip

Measurement targets

  • Translations per minute

Setup

  • Hold 3–5 coins in the palm.

Steps

  1. 1Move one coin at a time from palm to fingertips, then back.

Cues

  • Don't drop the others.

Common mistakes

  • Using the other hand to help.

Stop rules

  • Sharp pain (≥ 4/10)
  • Increasing swelling during or after
  • New or worsening numbness or tingling
  • Color change in fingers (pale, blue, red)
  • Wound opens, drains, or feels hot
  • Next morning is worse than the day before

Progressions

  • More coins; smaller objects.

Regressions

  • Two coins only.
Continue your rehab

What to do next — not a dead end

Suggestions use body region, goal, motion type, and allowed phases — not your medical record. After surgery or a flare, follow your clinician first.

Estimated time

~2 min typical block

~2 min · 1×/day

Equipment

Coins

Rehab stage

Phases 3, 4

Generally lower load — still respect pain and swelling.

When to stop

Sharp pain (≥ 4/10)

Increasing swelling during or after

Full stop rules ↑

Avoid if this sounds like you

Acute pain with grip

Reread best-for context ↑

Keep momentum without overdoing it

Log a short check-in to protect your streak — even one quality set counts.

Scaling in plain language: Easier — Two coins only. · Harder — More coins; smaller objects.Full cues ↑