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Abnormal reliance on object structure in apraxics' learning of novel object-related actions

Published online by Cambridge University Press:  18 October 2007

LAURA H.F. BARDE ,
LAUREL J. BUXBAUM  and
ADRIENNE D. MOLL
LAURA H.F. BARDE
Affiliation:
Moss Rehabilitation Research Institute, Philadelphia, Pennsylvania Department of Psychology, University of Pennsylvania, Philadelphia, Pennsylvania
LAUREL J. BUXBAUM
Affiliation:
Moss Rehabilitation Research Institute, Philadelphia, Pennsylvania School of Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania
ADRIENNE D. MOLL
Affiliation:
Moss Rehabilitation Research Institute, Philadelphia, Pennsylvania
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Abstract

We assessed the prediction that object structural cues could benefit the learning of object–action relationships in ideomotor apraxia (IMA). A total of 15 patients with left-hemisphere stroke, 11 of whom exhibited IMA, and 10 healthy subjects were trained to match novel gestures to novel tool pictures that were either High- or Low-Afforded by their associated tools. Learning was assessed with recognition and production tests. Only IMA patients demonstrated better recognition of High- than Low-Afforded gestures, and their recognition of High-Afforded gestures was statistically comparable to the other groups. This finding suggests that apraxics may rely abnormally on object structure when learning to associate novel gestures and tools. Finally, the “affordance benefit” was associated with relative sparing of structures in the dorsal visual processing stream. These data are consistent with the proposal that two routes may mediate skilled action, one specialized for stored information, and the other responsive to object structure, and that deficient gesture learning may be compensated by “bootstrapping” intact dorsal stream coding of action. (JINS, 2007, 13, 997–1008.)

Keywords

Ideomotor apraxiaGesturesParietal lobeRehabilitation
Type
SYMPOSIA
Information
Journal of the International Neuropsychological Society , Volume 13 , Issue 6 , November 2007 , pp. 997 - 1008
Copyright
© 2007 The International Neuropsychological Society

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