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Card dealing

Thumb-driven single card translation

DexterityThumbFingerstranslationtaskLow riskPhases 3, 4

Goal

Thumb opposition + speed under task constraint.

Motion taxonomy (reference)

Also called: thumb translation

Structures:

Muscles — thenar muscles, thumb flexors/extensors

Tendons — thumb tendons

Bones / joints — index support joints, thumb CMC/MCP/IP

Indexed benefits: improves thumb mobility · supports precision release · trains dexterity

Common contexts: fine motor tasks · hand coordination · thumb rehab

Best for

  • Thumb mobility
  • Speed and rhythm

Default dose

Time2 min
Frequency1× daily
Sets / time2 min

2 min • 1×/day

Equipment

Deck of cards

Avoid when

Measurement targets

  • Cards per minute

Setup

  • Hold a deck of cards in the affected hand.

Steps

  1. 1Deal cards one at a time using the thumb.

Cues

  • Smooth, steady tempo.

Common mistakes

  • Bunching multiple cards.

Stop if you feel

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

  • Faster tempo.

Regressions

  • Deal in pairs.
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

Deck of cards

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

Thumb CMC flare

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 — Deal in pairs. · Harder — Faster tempo.Full cues ↑