Insights into the neural mechanisms underlying hand praxis: implications for the neurocognitive rehabilitation of apraxia

Linguistic and motor representations of everyday complex actions: an fNIRS investigation

The present work aimed at exploring functional correlates of motor and linguistic representations of everyday actions, with a specific interest in potential sensorimotor activation effects induced by the use of related action sentences. While it is indeed known that observing simple motor acts (e.g., precision grasping) and listening to the sound of specific actions (e.g., walking) activate sensorimotor structures, less is known when we move to more complex behaviors and more abstract linguistic representations (e.g., verbal descriptions). Again, the potential of linguistic representations to facilitate the activation of specific sensorimotor structures during action execution or observation is yet unexplored. We then aimed at investigating hemodynamic activation patterns (via functional near-infrared spectroscopy, fNIRS) within the sensorimotor network during different tasks based on everyday activities. Twenty volunteers were asked to execute (EXE), observe (OBS), or listen (LIS) to brief verbal descriptions of transitive actions, to observe them while listening to their description (OBS-LIS), or to execute them while listening to their description (EXE-LIS). Analyses highlighted that, in the left hemisphere, hemodynamic responses were the lowest during observation of complex actions and observation coupled with listening, greater during simple listening to verbal description of actions, and maximal when participants actually executed complex actions or executed them while listening to their verbal descriptions. The present results suggest that processing verbal descriptions of actions might keep the sensorimotor network more active than simply observing them. Such first pieces of evidence hint at potential implications for novel procedures for rehabilitation of movement and action deficits.

Structural asymmetry of the insula is linked to the lateralization of gesture and language

The control of gesture is one of the most left-lateralized functions, and the insular cortex is one of the most left-biased structures in the human brain. Therefore, we investigated whether structural asymmetries of the insula are linked to the organization of functional activity during gesture planning. We reconstructed and parcellated the insular cortex of 27 participants. First, we tested 15 strongly left-handed individuals because of a higher incidence of atypical organization of functions such as gesture and language in such a population. The inter-hemispheric structural asymmetries were compared with the lateralization of activity for gesture in the supramarginal gyrus (the hotspot of signal increase regardless of the gesturing hand) and Broca’s area (the hotspot of signal increase for language production). The more pronounced leftward structural asymmetries were accompanied by greater left-hemisphere dominance for both of the studied functions. Conversely, an atypical, bilateral or rightward functional shift of gesture and language was accompanied by an attenuated leftward asymmetry of the insula. These significant relationships were driven primarily by differences in surface area. Subsequently, by adding 12 right-handed individuals to these analyses we demonstrated that the observed significant associations are generalizable to the population. These results provide the first demonstration of the relationships between structural inter-hemispheric differences of the insula and the cerebral specialization for gesture. They also corroborate the link between insular asymmetries and language lateralization. As such, these outcomes are relevant to the common cerebral specialization for gesture and language.

Sinistrals are rarely "right": evidence from tool-affordance processing in visual half-field paradigms

Although current neuroscience and behavioral studies provide substantial understanding of tool representations (e.g., the processing of tool-related affordances) in the human brain, most of this knowledge is limited to right-handed individuals with typical organization of cognitive and manual skills. Therefore, any insights from these lines of research may be of little value in rehabilitation of patients with atypical laterality of praxis and/or hand dominance. To fill this gap, we tested perceptual processing of man-made objects in 18 healthy left-handers who were likely to show greater incidence of right-sided or bilateral (atypical) lateralization of functions. In the two experiments reported here, participants performed a tool vs. non-tool categorization task. In Experiment 1, target and distracter objects were presented for 200 ms in the left (LVF) or right (RVF) visual field, followed by 200 ms masks. In Experiment 2, the centrally presented targets were preceded by masked primes of 35 ms duration, again presented in the LVF or RVF. Based on results from both studies, i.e., response times (RTs) to correctly discriminated stimuli irrespective of their category, participants were divided into two groups showing privileged processing in either left (N = 9) or right (N = 9) visual field. In Experiment 1, only individuals with RVF advantage showed significantly faster categorization of tools in their dominant visual field, whereas those with LVF advantage revealed merely a trend toward such an effect. In Experiment 2, when targets were preceded by identical primes, the "atypical" group showed significantly facilitated categorization of non-tools, whereas the "typical" group demonstrated a trend toward faster categorization of tools. These results indicate that in subjects with atypically organized cognitive skills, tool-related processes are not just mirror reversed. Thus, our outcomes call for particular caution in neurorehabilitation directed at left-handed individuals.