Deafferentation The most direct of related
disorders, deafferentation occurs due to the loss of sensory input from
afferent sensory nerves, without affecting
motor neurons. The most famous case of this disorder is "IW", who lost all sensory input from below the neck, resulting in temporary paralysis. He was forced to learn to control his movement all over again using only his conscious body image and visual feedback. As a result, when constant visual input is lost during an activity, such as walking, it becomes impossible for him to complete the task, which may result in falling, or simply stopping. IW requires constant attention to tasks to be able to complete them accurately, demonstrating how automatic and
subconscious the process of integrating touch and proprioception into the body schema actually is.
Autotopagnosia Autotopagnosia typically occurs after left parietal lesions. Patients with this disorder make errors which result from confusion between adjacent body parts. For example, a patient may point to their knee when asked to point to their hip. Because the disorder involves the body schema, localization errors may be made both on the patient’s own body and that of others. The spatial unity of the body within the body schema has been damaged such that it has incorrectly been segmented in relation to its other modular parts.
Phantom limb Phantom limbs are a phenomenon which occurs following
amputation of a limb from an individual. In 90–98% of cases, amputees report feeling all or part of the limb or body part still there, taking up space. The amputee may perceive a limb under full control, or
paralyzed. A common side effect of phantom limbs is phantom limb pain. The neurophysiological mechanisms by which phantom limbs occur is still under debate. A common theory posits that the
afferent neurons, since deafferented due to amputation, typically remap to adjacent cortical regions within the brain. This can cause amputees to report feeling their missing limb being touched when a seemingly unrelated part of the body is stimulated (such as if the face is touched, but the amputee also feels their missing arm being stroked in a specific location). Another facet of phantom limbs is that the
efferent copy (motor feedback) responsible for reporting on position to the body schema does not attenuate quickly. Thus the missing body part may be attributed by the amputee to still be in a fixed or movable position.
Others Asomatognosia,
somatoparaphrenia,
anosognosia,
anosodiaphoria,
allochiria and
hemispatial neglect all involve (or in some cases involve) aspects of impaired body schema. Hemispatial neglect is not uncommon because
strokes sometimes cause it. ==Tool use==