Evidence map›Paper›PMID 40828021›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2025

Action-type mapping principles extend beyond evolutionarily conserved actions, even in people born without hands.

Florencia Martinez-Addiego, Yuqi Liu, Kyungji Moon, Elizabeth Shytle, Lénia Amaral, Caroline O'Brien, Sriparna Sen, Maximilian Riesenhuber, Jody C Culham, Ella Striem-Amit

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Coding of tool use independent of body part.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Florencia Martinez-Addiego *Department of Neuroscience, Georgetown University Medical Center, Washington, DC 20057.ORCID 0000-0002-5334-6772
Yuqi Liu *Department of Neuroscience, Georgetown University Medical Center, Washington, DC 20057.
Kyungji MoonDepartment of Neuroscience, Georgetown University Medical Center, Washington, DC 20057.
Elizabeth ShytleDepartment of Neuroscience, Georgetown University Medical Center, Washington, DC 20057.
Lénia AmaralDepartment of Neuroscience, Georgetown University Medical Center, Washington, DC 20057.
Caroline O'BrienDepartment of Neuroscience, Georgetown University Medical Center, Washington, DC 20057.ORCID 0009-0005-4106-3424
Sriparna SenDepartment of Neuroscience, Georgetown University Medical Center, Washington, DC 20057.
Maximilian RiesenhuberDepartment of Neuroscience, Georgetown University Medical Center, Washington, DC 20057.ORCID 0000-0002-5744-0408
Jody C CulhamDepartment of Psychology, University of Western Ontario, London, ON N6A 5C2, Canada.
Ella Striem-AmitDepartment of Neuroscience, Georgetown University Medical Center, Washington, DC 20057.ORCID 0000-0002-5900-3455

Funding

Shanghai Youth Science and Technology Innovation Plan 22YF1454200
6 · The paper itself

Abstract

How are actions represented in the motor system? Although the sensorimotor system is broadly organized somatotopically, higher-level sensorimotor areas encode action-type information for reaching and grasping actions-regardless of the acting body part. Does the brain similarly support generalization across acting body parts for more evolutionarily recent actions, such as tool-use? We tested whether there is a body-part-independent action-type organization in sensorimotor areas by examining fMRI responses for tool-use actions that participants performed with their hands or feet. We additionally included individuals born without hands to test whether hand sensorimotor experience is necessary for the development of this action-type organization. Across analyses, we found a consistent dissociation in the motor system. The primary sensorimotor cortices encoded concrete, body-part specific information in both groups. In contrast, higher-level motor areas within the tool-use network represent abstract, action-type information independent of the body part for both groups. Together, our results suggest that the hierarchical organization of the motor system is not dependent on a long evolutionary history of an action. Further, this organization is not dependent on an individual's manual sensorimotor experience. Our results also show that the functional reorganization in congenital handlessness follows the hierarchical organization of the intact cortex, revealing the limitations of brain plasticity. Finally, the results support using a readout of a more abstract code for hierarchical brain-computer interfaces.

Indexed as

Brain MappingHandMotor CortexSensorimotor CortexAdultBiological EvolutionFemaleHumansMagnetic Resonance ImagingMalePsychomotor PerformanceYoung Adultactionsbrain plasticityhandsmotor cortextool use

Identifiers

PMID40828021
PMCPMC12402994

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.