Four Point TVA Exercise - Wrist Pain

Question:

I find Paul Chek's article, The Inner Unit, to be quite insightful. He recommends the four point maneuver and other stabilization exercises that are done in an "all fours" position. How does one modify the four point, for instance, for clients who are strong generally but whose wrists get sore before they complete their second set? Can they put their hands around a dumbbell and point their knuckles to the ground to keep their wrists neutral, or will that throw off postural positioning too much? Should we focus on forearm exercises first? What is recommended?

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