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Palmar abduction

Thumb palmar abduction (out of plane)

MobilityThumbabductionLow riskPhases 1, 2, 3, 4

Goal

Maintains first web space length — critical for grasp width.

Motion taxonomy (reference)

Also called: thumb abduction out of palm · thumb out of plane · thumb raises away from palm

Structures:

Muscles — abductor pollicis brevis, abductor pollicis longus

Tendons — APB tendon, APL tendon

Bones / joints — first metacarpal, first ray, thumb CMC joint, thumb MCP joint

Indexed benefits: activates APB · improves grasp aperture · opens web space · supports opposition · widens web space

Common contexts: CMC stiffness · thenar weakness · thumb mobility · web-space opening · web-space tightness

Best for

  • Web-space tightness
  • Thumb mobility after immobilization

Default dose

Reps10
Frequency2× daily
Sets / time

10 reps • 2×/day

Avoid when

  • Acute CMC flare

Measurement targets

  • Web space angle (degrees)

Setup

  • Palm facing up, hand relaxed.

Steps

  1. 1Lift the thumb away from the palm, perpendicular to it.
  2. 2Return slowly.

Cues

  • Lead with the thumb pad, not the tip.

Common mistakes

  • Wrist movement instead of thumb.

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

  • Add gentle hold at end range.

Regressions

  • Reduce range; rest between reps.
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 1, 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

Acute CMC flare

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 — Reduce range; rest between reps. · Harder — Add gentle hold at end range.Full cues ↑