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Cognitive Representations of Hand Posture in Apraxia and Agnosia

 Laurel J Buxbaum, Angela Sirigu, Myrna F. Schwartz, Tania Giovannetti, Roberta Klatzky and Pascale Pradat-Diehl
  
 

Abstract:
Abstract: In healthy subjects, cognitive representations of familiar objects are reliably associated with categories of hand shape (palm, pinch, clench, and poke), and these categories are based on functional and not structural considerations. In contrast, structural variables (depth, surface area) reliably predict responses to unfamilar forms. We investigated the hypothesis that patients with ideomotor apraxia (defective object use and pantomime, n = 7) due to left parietal damage would be impaired in producing and recognizing hand postures with both familiar and unfamiliar forms, indicating deficits in responding to both functional and structural aspects of objects. We also assessed the previously reported temporal-lesioned agnosic subject, FB, who could demonstrate the manipulation of objects he did not recognize. Apraxics' performance suggested degraded or inaccessible cognitive representations of hand shape in response to both functional and structural factors and on both production and recognition tasks. In one apraxic subject, performance was better with familiar than unfamiliar forms, suggesting particular deficits in response to object structure. In contrast, FB responded normally to object structure, but poorly when structure and function conflicted. We discuss implications of the data for the roles of temporal and parietal structures in hand shaping for object use.

 
 


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