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Movement library
MobilityThumbmoderatePhases 2, 3, 4

Thumb retropulsion (lift)

Thumb retropulsion (EPL activation)

Maintains EPL excursion; preserves thumb extension arc.

Best for

  • EPL activation
  • Recovery after EPL repair (with clearance)

Default dose

10 reps • 2×/day

Avoid when

  • Active EPL repair within early protocol windows

Measurement targets

  • Lift height (cm)
  • Hold time (sec)

Setup

  • Palm flat on a table.

Steps

  1. 1Lift the thumb straight up off the table.
  2. 2Lower with control.

Cues

  • Lead with the back of the thumb.

Common mistakes

  • Lifting the whole hand.

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

  • Brief hold at top.

Regressions

  • Smaller lift.
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

~2–5 min as a focused practice block

10 reps · 2×/day

Equipment

None required — table or bodyweight only.

Rehab stage

Phases 2, 3, 4

Higher load or coordination — scale range and speed.

When to stop

Sharp pain (≥ 4/10)

Increasing swelling during or after

Full stop rules ↑

Avoid if this sounds like you

Active EPL repair within early protocol windows

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 — Smaller lift. · Harder — Brief hold at top.Full cues ↑