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Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
Published on: December 16, 2022
Association between Neuropsychological Impairments and Adaptive Functioning in Stroke Survivors: A Cross-sectional
S Aravind Kumar1, M Ardhanaari2, Ashwathi Janakiram3
1Research Scholar, Department of Clinical Psychology, Meenakshi Medical College Hospital and Research Institute, Meenakshi Academy of Higher Education and Research, Enathur, Kanchipuram, Tamil Nadu, India.
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 (r = 0.53) and FIM (r = 0.62), while NIHSS scores were significantly negatively correlated with all neuropsychological and functional measures (all P < 0.05). Of the factors considered, MoCA score was the best independent predictor of adaptive functioning, followed by FIM score. Cognitive, adaptive, and functional outcomes were significantly better for participants with ischemic stroke.
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.