Figure 4.38 This child's mother is learn- ing how to help her child lift his foot to put a shoe on. She learns that he must first shift his weight toward the back of his base of support in order to unweight his feet. His therapist teaches her to make sure that she helps him keep his thoracic spine actively extended while he shifts back. His mother uses her hands to assist thoracic extension while helping him tilt back and hold with his abdominal muscles.