Sensory loss is detrimental to sensorimotor control. Several studies have reported that loss and/or damage of primary (Ia) muscle spindle afferents significantly influence the stretch reflex responses of leg and foot muscles. However, a systematic experimental evaluation on how the impairment of Ia muscle spindle afferents affects the stretch reflex is difficult due to technical and ethical issues. In the present study, the aim was to use computer simulations of a multiscale neuromusculoskeletal model to investigate how changes in: i) the number of Ia afferents, ii) the synaptic conductance between Ia sensory fibers and spinal motor neurons (MNs), and iii) the conduction velocities (CVs) of Ia afferents, would influence the stretch reflex of a leg muscle (soleus). Simulation results showed that both anatomical and functional loss of Ia afferents exerted an influence on the amplitude of short-latency stretch reflex response (M1) and the late phase of medium-latency response (M2). Additionally, changes in CVs of Ia afferents mainly influenced the latency of M1 and the amplitude of M2. Our findings provide conceptual evidence that a combination of anatomical and functional loss, as well as changes in CVs of Ia afferents due to demyelination, can explain the stretch reflex responses observed in peripheral neuropathies.