Tool use and action planning in apraxia

▸ Patients with apraxia often failed to invert the hand to grasp inverted tools. ▸ Ability to invert the hand to grasp abstract objects was largely unimpaired. ▸ For correct responses, rotation of the wrist was later during reaching for tools. ▸ These data suggest degraded access to tool-use represe...

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Vydáno v:Neuropsychologia Ročník 49; číslo 5; s. 1275 - 1286
Hlavní autoři: Sunderland, Alan, Wilkins, Leigh, Dineen, Rob
Médium: Journal Article
Jazyk:angličtina
Vydáno: Kidlington Elsevier Ltd 01.04.2011
Elsevier
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ISSN:0028-3932, 1873-3514, 1873-3514
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Abstract ▸ Patients with apraxia often failed to invert the hand to grasp inverted tools. ▸ Ability to invert the hand to grasp abstract objects was largely unimpaired. ▸ For correct responses, rotation of the wrist was later during reaching for tools. ▸ These data suggest degraded access to tool-use representations in apraxia. ▸ But this cannot explain deficits in imitating or matching meaningless postures. Apraxia after left inferior parietal lesions has been widely interpreted as evidence of damage or impaired access to representations of tool-use, but most research has investigated pantomime of tool actions, not handling of actual tools. An alternative account is that inferior parietal damage does not affect tool-use representations but impairs cognitive processing about postural and hand-tool spatial relationships which is necessary for planning and controlling any complex action. Four apraxic patients and 10 age-matched controls were asked to reach rapidly for tools or abstract objects of similar dimensions. Under conditions of time pressure and divided attention, the patients frequently failed to invert the hand to grasp inverted tools by the handle, whereas ability to invert the hand to avoid a barrier and grasp abstract objects was largely unimpaired. Frequency of errors in tool grasping correlated with severity of apraxia. When inverted tools were correctly grasped, rotation of the wrist occurred later during the reaching movement than when inverting the hand to grasp an abstract object. These data are consistent with the theory of degraded access to tool-use representations in apraxia, but this theory cannot account for co-occurring deficits in imitating or matching meaningless hand or body postures.
AbstractList Apraxia after left inferior parietal lesions has been widely interpreted as evidence of damage or impaired access to representations of tool-use, but most research has investigated pantomime of tool actions, not handling of actual tools. An alternative account is that inferior parietal damage does not affect tool-use representations but impairs cognitive processing about postural and hand-tool spatial relationships which is necessary for planning and controlling any complex action. Four apraxic patients and 10 age-matched controls were asked to reach rapidly for tools or abstract objects of similar dimensions. Under conditions of time pressure and divided attention, the patients frequently failed to invert the hand to grasp inverted tools by the handle, whereas ability to invert the hand to avoid a barrier and grasp abstract objects was largely unimpaired. Frequency of errors in tool grasping correlated with severity of apraxia. When inverted tools were correctly grasped, rotation of the wrist occurred later during the reaching movement than when inverting the hand to grasp an abstract object. These data are consistent with the theory of degraded access to tool-use representations in apraxia, but this theory cannot account for co-occurring deficits in imitating or matching meaningless hand or body postures.Apraxia after left inferior parietal lesions has been widely interpreted as evidence of damage or impaired access to representations of tool-use, but most research has investigated pantomime of tool actions, not handling of actual tools. An alternative account is that inferior parietal damage does not affect tool-use representations but impairs cognitive processing about postural and hand-tool spatial relationships which is necessary for planning and controlling any complex action. Four apraxic patients and 10 age-matched controls were asked to reach rapidly for tools or abstract objects of similar dimensions. Under conditions of time pressure and divided attention, the patients frequently failed to invert the hand to grasp inverted tools by the handle, whereas ability to invert the hand to avoid a barrier and grasp abstract objects was largely unimpaired. Frequency of errors in tool grasping correlated with severity of apraxia. When inverted tools were correctly grasped, rotation of the wrist occurred later during the reaching movement than when inverting the hand to grasp an abstract object. These data are consistent with the theory of degraded access to tool-use representations in apraxia, but this theory cannot account for co-occurring deficits in imitating or matching meaningless hand or body postures.
▸ Patients with apraxia often failed to invert the hand to grasp inverted tools. ▸ Ability to invert the hand to grasp abstract objects was largely unimpaired. ▸ For correct responses, rotation of the wrist was later during reaching for tools. ▸ These data suggest degraded access to tool-use representations in apraxia. ▸ But this cannot explain deficits in imitating or matching meaningless postures. Apraxia after left inferior parietal lesions has been widely interpreted as evidence of damage or impaired access to representations of tool-use, but most research has investigated pantomime of tool actions, not handling of actual tools. An alternative account is that inferior parietal damage does not affect tool-use representations but impairs cognitive processing about postural and hand-tool spatial relationships which is necessary for planning and controlling any complex action. Four apraxic patients and 10 age-matched controls were asked to reach rapidly for tools or abstract objects of similar dimensions. Under conditions of time pressure and divided attention, the patients frequently failed to invert the hand to grasp inverted tools by the handle, whereas ability to invert the hand to avoid a barrier and grasp abstract objects was largely unimpaired. Frequency of errors in tool grasping correlated with severity of apraxia. When inverted tools were correctly grasped, rotation of the wrist occurred later during the reaching movement than when inverting the hand to grasp an abstract object. These data are consistent with the theory of degraded access to tool-use representations in apraxia, but this theory cannot account for co-occurring deficits in imitating or matching meaningless hand or body postures.
Apraxia after left inferior parietal lesions has been widely interpreted as evidence of damage or impaired access to representations of tool-use, but most research has investigated pantomime of tool actions, not handling of actual tools. An alternative account is that inferior parietal damage does not affect tool-use representations but impairs cognitive processing about postural and hand-tool spatial relationships which is necessary for planning and controlling any complex action. Four apraxic patients and 10 age-matched controls were asked to reach rapidly for tools or abstract objects of similar dimensions. Under conditions of time pressure and divided attention, the patients frequently failed to invert the hand to grasp inverted tools by the handle, whereas ability to invert the hand to avoid a barrier and grasp abstract objects was largely unimpaired. Frequency of errors in tool grasping correlated with severity of apraxia. When inverted tools were correctly grasped, rotation of the wrist occurred later during the reaching movement than when inverting the hand to grasp an abstract object. These data are consistent with the theory of degraded access to tool-use representations in apraxia, but this theory cannot account for co-occurring deficits in imitating or matching meaningless hand or body postures.
Author Sunderland, Alan
Wilkins, Leigh
Dineen, Rob
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  organization: Division of Academic Radiology, University of Nottingham, Nottingham, United Kingdom
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Issue 5
Keywords Apraxia
Tool-use
Memory for actions
Action planning
Left inferior parietal lobe
Human
Nervous system diseases
Memory
Central nervous system
Encephalon
Cerebral disorder
Central nervous system disease
Body movement
Parietal lobe
Planning
Neurological disorder
Motricity
Tool
Language English
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Snippet ▸ Patients with apraxia often failed to invert the hand to grasp inverted tools. ▸ Ability to invert the hand to grasp abstract objects was largely unimpaired....
Apraxia after left inferior parietal lesions has been widely interpreted as evidence of damage or impaired access to representations of tool-use, but most...
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StartPage 1275
SubjectTerms Action planning
Adult
Adult and adolescent clinical studies
Aged
Apraxia
Apraxias - pathology
Apraxias - physiopathology
Biological and medical sciences
Cues
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Female
Gestures
Hand - physiopathology
Humans
Imitative Behavior - physiology
Language
Left inferior parietal lobe
Magnetic Resonance Imaging - methods
Male
Medical sciences
Memory for actions
Middle Aged
Motor Skills - physiology
Movement - physiology
Nervous system (semeiology, syndromes)
Neurology
Organic mental disorders. Neuropsychology
Problem Solving - physiology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reaction Time - physiology
Space Perception
Statistics as Topic
Tool-use
Wrist - innervation
Title Tool use and action planning in apraxia
URI https://dx.doi.org/10.1016/j.neuropsychologia.2011.01.020
https://www.ncbi.nlm.nih.gov/pubmed/21241720
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https://www.proquest.com/docview/954675934
Volume 49
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