Tabletop position
Intrinsic-plus position (MCP flexion, IP extension)
Goal
Trains intrinsic muscle balance critical for grip and dexterity.
Motion taxonomy (reference)
Also called: intrinsic plus · lumbrical plus
Muscles — extensor digitorum as stabilizer, interossei, lumbricals
Tendons — extensor tendons, intrinsic tendon slips
Bones / joints — DIP joints, MCP joints, metacarpals, phalanges, PIP joints
Indexed benefits: activates intrinsics · helps reduce extensor lag patterns · improves MCP control
Common contexts: intrinsic activation · MCP control · post-op rehab when cleared
Best for
- Intrinsic activation
- Lumbrical and interossei recruitment
Default dose
10 reps • 3s hold • 3×/day
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
- Hold tabletop while spreading fingers.
Regressions
- Smaller MCP angle; build over days.
Used in
Search the exercise library with this motion's clinical label for additional guided drills that may match your plan.
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.
~2–5 min as a focused practice block
10 reps · 3s hold · 3×/day
None required — table or bodyweight only.
Phases 1, 2, 3, 4
Generally lower load — still respect pain and swelling.
Where this shows up clinically
How phases map to healingNext best movements
Later phase or richer progression when you are ready.
Prerequisite / gentler lane
Same region and intent — usually earlier phase or lower risk.
Commonly paired with
Different primary goal, same region — typical mixed sessions.
Keep momentum without overdoing it
Log a short check-in to protect your streak — even one quality set counts.