Hi Jan, I few options you can try are: 1. Use a wedge for your client so her wrist angle is less with weight bearing. 2. Have her do the exercises on her forearms with a focus on creating a link from her shoulder blades to her abdomen. You could have her rest her forearms on a long box for elevation also. Strengthening her shoulder girdle will help her to create opposition and lift out of her wrists for less pressure and active support. Thanks for your question and all the best to you.