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Movement library
DexterityFingersThumbPhases 3, 4

Button practice

Buttoning and unbuttoning task

Real-world dexterity and bilateral coordination.

Best for

  • Self-care return
  • Fine motor

Default dose

2 min • 1×/day

Equipment

Shirt with buttons

Avoid when

  • Acute pinch pain

Measurement targets

  • Time per button (sec)

Setup

  • Use a shirt or buttoning board.

Steps

  1. 1Button and unbutton slowly.

Cues

  • Both hands working together.

Common mistakes

  • Rushing.

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

  • Smaller buttons.

Regressions

  • Larger buttons or button board.
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

Shirt with buttons

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

Acute pinch pain

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 — Larger buttons or button board. · Harder — Smaller buttons.Full cues ↑