An fMRI study of the neural basis hand postures specific to tool use. Presidential award proceedings

Patients with apraxia are often unable to mimic the use of a tool, even when it is presented visually. Such mimicking involves various cognitive and motor processes, including the visual perception of a tool and the manipulation of imagined tools. Although previous studies reported the involvement of several brain areas, including the left inferior parietal lobule, in such tool-use action, the details of each process have not been well understood. To clarify the neural basis of the process involved in forming hand postures for using tools, we used functional magnetic resonance imaging (fMRI) in normal volunteers to investigate brain activation while they formed hand postures for tool manipulation. Three conditions were evaluated in separate block-designed fMRI series, formation of hand posture (A) using a tool, (B) imitating such a hand posture, and (C) to imitate the shape of a tool. Subjects formed their right hand in a manner specified according to the task conditions. Hand posturing for condition (A) induced activation in the left inferior frontal gyrus (BA 45), left inferior parietal lobule (BA 40), and the premotor area compared with the imitative posturing of condition (B). Activation in these areas might be related to processes shared by tool-use pantomime. On the other hand, comparison between conditions (A) and (C) demonstrated activation in the right superior parietal lobule (BA 7). This activation may reflect spatial regulation, in which the subject was prepared to hold and manipulate the tool. Formation of static hand postures to prepare for tool use may employ a neural network shared by various tool-use actions, such as pantomime. In addition, forming hand postures may require close coordination between the tool and hand. (author)