Over the last decades, scientists have questioned the origin of the exquisite human mastery of tools. Seminal studies in monkeys, healthy participants and brain-damaged patients have primarily focused on the plastic changes that tool-use induces on spatial representations. More recently, we focused on the modifications tool-use must exert on the sensorimotor system and highlighted plastic changes at the level of the body representation used by the brain to control our movements, i.e., the Body Schema. Evidence is emerging for tool-use to affect also more visually and conceptually based representations of the body, such as the Body Image. Here we offer a critical review of the way different tool-use paradigms have been, and should be, used to try disentangling the critical features that are responsible for tool incorporation into different body representations. We will conclude that tool-use may offer a very valuable means to investigate high-order body representations and their plasticity.

The portion of space that closely surrounds our body parts is termed peripersonal space, and it has been shown to be represented in the brain through multisensory processing systems. Here, we tested whether voluntary actions, such as grasping an object, may remap such multisensory spatial representation. Participants discriminated touches on the hand they used to grasp an object containing task-irrelevant visual distractors. Compared with a static condition, reach-to-grasp movements increased the interference exerted by visual distractors over tactile targets. This remapping of multisensory space was triggered by action onset and further enhanced in real time during the early action execution phase. Additional experiments showed that this phenomenon is hand-centred. These results provide the first evidence of a functional link between voluntary object-oriented actions and multisensory coding of the space around us.