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Small-finger MCP flexion isometric

Resisted isometric flexion at the fifth MCP (blocked)

StrengthFingersisometricflexionLow riskPhases 2, 3, 4

Goal

Isometric fifth-ray loading supports pinch arcs that load the ulnar column.

Motion taxonomy (reference)

Also called: RIM · 5th MCP iso

Best for

  • ADM / hypothenar recruitment
  • Ulnar column stability

Default dose

Reps6
Frequency2× daily
Sets / time2 rounds

6 reps • 2 sets • 5s hold • 2×/day

Avoid when

  • Hook of hamate non-union
  • Acute ulnar-sided wrist pain

Measurement targets

  • Effort tolerance

Setup

Steps

  1. 1Block the fifth proximal phalanx with the opposite thumb and finger.
  2. 2Attempt MCP flexion into the block.
  3. 3Relax fully between efforts.

Cues

  • Keep the MCP in line with the metacarpal.
  • Light effort first.

Common mistakes

  • Rotating into hook grip when not instructed.

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

  • Combine with finger abduction isometrics.

Regressions

  • Imagery-only contraction.
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

~1 min if held as written

6 reps · 2 sets · 5s hold · 2×/day

Equipment

None required — table or bodyweight only.

Rehab stage

Phases 2, 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

Hook of hamate non-union

Acute ulnar-sided wrist pain

Reread best-for context ↑

Guided exercises that use this

Step-by-step sessions that embed this movement pattern.

Keep momentum without overdoing it

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

Scaling in plain language: Easier — Imagery-only contraction. · Harder — Combine with finger abduction isometrics.Full cues ↑