The illusion of having a large virtual body biases action-specific perception in patients with mild cognitive impairment

The illusion of having a large body makes us perceive objects as smaller than they really are. This action-specific perception effect occurs because we perceive the property of an object (i.e., size) differently according to our unique action capability (i.e., the affordance of body size). Although the body-ownership illusion contributing to this action-specific perception has been studied, its effects remain unclear in neurological patients. We examined the action-specific perception impairments of MCI patients by means of body-ownership illusion in a non-immersive virtual reality environment. Twenty healthy young adults, 21 healthy older adults, and 15 MCI patients were recruited. We assessed their “original-body action-specific perception” and “enlarged-body action-specific perception” using the original and enlarged sizes of their virtual bodies, respectively. The MCI patients’ original-body action-specific perception was no different than that of the healthy controls (p = 0.679). However, the enlarged-body action-specific perception of the MCI patients was significantly biased (p < 0.001). The inclusion of the enlarged-body action-specific perception provides additional discriminative power for early diagnosis of MCI (89.3% accuracy, 75.0% sensitivity, 100.0% specificity, and 87.5% balanced accuracy).