ERIC Number: EJ1003501
Record Type: Journal
Publication Date: 2013-Mar
Abstractor: As Provided
Reference Count: 0
Tool-Use and the Left Hemisphere: What Is Lost in Ideomotor Apraxia?
Sunderland, Alan; Wilkins, Leigh; Dineen, Rob; Dawson, Sophie E.
Brain and Cognition, v81 n2 p183-192 Mar 2013
Impaired tool related action in ideomotor apraxia is normally ascribed to loss of sensorimotor memories for habitual actions (engrams), but this account has not been tested against a hypothesis of a general deficit in representation of hand-object spatial relationships. Rapid reaching for familiar tools was compared with reaching for abstract objects in apraxic patients (N = 9) and in a control group with right hemisphere posterior stroke. The apraxic patients alone showed an impairment in rotating the wrist to correctly grasp an inverted tool but not when inverting the hand to avoid a barrier and grasp an abstract object, and the severity of the impairment in tool reaching correlated with pantomime of tool-use. A second experiment with two apraxic patients tested whether barrier avoidance was simply less spatially demanding than reaching for a tool. However, the patient with damage limited to the inferior parietal lobe still showed a selective problem for tools. These results demonstrate that some apraxic patients are selectively impaired in their interaction with familiar tools, and this cannot be explained by the demands of the task on postural or spatial representation. However, traditional engram theory cannot account for associated problems with imitation of novel actions nor the absence of any correlated deficit in recognition of the methods of grasp of common tools. A revised theory is presented which follows the dorsal and ventral streams model (Milner & Goodale, 2008) and proposes preservation of motor control by the dorsal stream but impaired modulating input to it from the conceptual systems of the left temporal lobe. (Contains 6 tables and 5 figures.)
Descriptors: Control Groups, Patients, Brain Hemisphere Functions, Sensory Integration, Perceptual Motor Learning, Spatial Ability, Comparative Analysis, Task Analysis, Neurological Impairments, Correlation, Psychomotor Skills, Theories
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
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