Good points, maybe a second camera (phone?) pointed downwards at the tabletop would be good for that. Then the user can rest their hands in a "normal" position.
That video did help. I think I was thrown off by two things:
1) I was expecting 3D controls with more direct mapping (e.g. rotating my hand rotates the model). This is more like gesture mouse controls.
2) Some of the controls were too subtle. The scaling between my gesture size and effect on screen was smaller than I expected.
Great area to develop though. There's so much untapped potential in applying Mediapipe.
The scales are based on the Japanese "in" pentatonic scale (sometimes called the Sakura scale), which I find really pretty.