Association between Neuropsychological Impairments and Adaptive Functioning in Stroke Survivors: A Cross-sectional Study
S. Aravind Kumar, M. Ardhanaari, Ashwathi Janakiram, N. R. NappinnaiAbstract
Background:
Poststroke neuropsychological deficits are common and often impact cognition, adaptive functioning, and functional independence, which can hinder successful community re-entry.
Objectives:
To assess the relationship between neuropsychological impairments and adaptive functioning in stroke survivors and to determine independent predictors of adaptive functioning.
Materials and Methods:
This cross-sectional study was conducted with 122 stroke survivors aged 30–60 years from July 2025 to March 2026. Neuropsychological functioning was evaluated with the Bender–Gestalt Test and Montreal Cognitive Assessment (MoCA); the Vineland Social Maturity Scale (VSMS) was used to assess adaptive functioning; the Functional Independence Measure (FIM) was used to assess functional independence; and the National Institutes of Health Stroke Scale (NIHSS) was used to assess neurological severity.
Results:
The mean MoCA, VSMS composite, and FIM scores were 25.1 ± 2.8, 90.6 ± 8.4, and 94.2 ± 12.7, respectively. MoCA scores were significantly positively correlated with VSMS composite (
Conclusion:
Adaptive functioning is strongly linked with neuropsychological functioning following stroke, and global cognitive performance and functional independence are the main predictors of adaptive functioning. A thorough evaluation of skills could help in the development of a tailored rehabilitation plan and enhance long-term outcomes.