Novel Tool Selection in Left Brain-Damaged Patients With Apraxia of Tool Use: A Study of Three Cases

Knowing "what for," but not "where": Dissociation between functional and contextual tool knowledge in healthy individuals and patients with dementia

OBJECTIVE

Semantic tool knowledge underlies the ability to perform activities of daily living. Models of apraxia have emphasized the role of functional knowledge about the action performed with tools (e.g., a hammer and a mallet allow a "hammering" action), and contextual knowledge informing individuals about where to find tools in the social space (e.g., a hammer and a mallet can be found in a workshop). The goal of this study was to test whether contextual or functional knowledge, would be central in the organization of tool knowledge. It was assumed that contextual knowledge would be more salient than functional knowledge for healthy controls and that patients with dementia would show impaired contextual knowledge.

METHODS

We created an original, open-ended categorization task with ambiguity, in which the same familiar tools could be matched on either contextual or functional criteria.

RESULTS

In our findings, healthy controls prioritized a contextual, over a functional criterion. Patients with dementia had normal visual categorization skills (as demonstrated by an original picture categorization task), yet they made less contextual, but more functional associations than healthy controls.

CONCLUSION

The findings support a dissociation between functional knowledge ("what for") on the one hand, and contextual knowledge ("where") on the other hand. While functional knowledge may be distributed across semantic and action-related factors, contextual knowledge may actually be the name of higher-order social norms applied to tool knowledge. These findings may encourage researchers to test both functional and contextual knowledge to diagnose semantic deficits and to use open-ended categorization tests.

Development of a control task for clarifying the neural mechanisms underlying tool-use behavior in rats (Rattus norvegicus)

•

Hook-choice training without tool-use-specific factors can be performed as a control task.

•

Prior tool-use training improved rats’ performance in experimental tests.

•

Control task for rodents allows investigation of the neural mechanisms of tool-use.

Many studies on non-human animals have attempted to investigate the neural mechanisms underlying tool-use behavior. However, previous studies showed considerable non-tool-use-specific differences between tool-use and control tasks. The purpose of the present study was to develop a control training task for studies that investigate the neural mechanisms behind tool-use in rodents. Eight rats were subjected to control tasks which excluded tool-use-specific factors and consisted of training for hook-pulling and hook-choice tasks, as well as tool-choice tests which included tool-use specific factors and were similar to those in a previous study on rats. With the exception of one rat, the results of the hook-choice training showed that the previous study and the present study had similar difficulty levels. In the tool-choice tests of the present study, rats did not choose the functional tools over the non-functional tools when there was no contradiction between their appearance and functionality, which contrasted with the previous study on which this study was based on. These results suggest that the training task that excludes tool-use-specific factors can be appropriately utilized as a control task for studies investigating the neural mechanisms behind tool-use in animals and, potentially, in humans.

•

Hook-choice training without tool-use-specific factors can be performed as a control task.

•

Prior tool-use training improved rats’ performance in experimental tests.

•

Control task for rodents allows investigation of the neural mechanisms of tool-use.