Speech-in-Noise Testing
This test is especially useful for:
People who struggle to hear in noisy places despite having normal or near-normal hearing thresholds
Evaluating the real-world impact of hearing loss
Guiding recommendations for hearing aids or assistive listening devices.
The Cognivue® Test
That’s why we also offer the Cognivue® screening, a quick, non-invasive test to assess key areas of brain function, including:
- Memory
- Visual and verbal processing
- Reaction time
- Cognitive flexibility
Cognivue helps us understand how your hearing health may be affecting your cognitive performance—and guides us in creating a truly holistic care plan.
Who needs a CAP test?
- Shows struggle in understanding speech in noisy or multi-talker environments
- Frequently ask for repetitions in conversations
- Show normal audiogram results but display listening or learning challenges
- Have no significant peripheral hearing loss or unmanaged attention disorders prior to assessment
What is the CAP Test?
The Central Auditory Processing (CAP) test battery evaluates how effectively the brain interprets and makes sense of sounds, despite normal peripheral hearing. It helps diagnose Central Auditory Processing Disorder (CAPD) by pinpointing which auditory processes—such as sound discrimination, temporal processing, or binaural interaction—are weakened or inefficient.
How is the CAP test done?
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Pre-Assessment Screening Confirm normal pure-tone hearing and rule out auditory neuropathy or other peripheral issues with tests like ABR or acoustic reflexes.
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Case History & Questionnaires Case History & Questionnaires Gather information on listening behaviors, academic performance, and daily communication challenges.
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CAP Test Battery Delivered via headphones in a sound-treated booth, interactive tasks typically last 45–60 minutes, with breaks to prevent fatigue.
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Scoring & Interpretation Results are converted into standard scores or percentiles; patterns of strengths and weaknesses across subtests guide diagnosis and intervention planning.
The CAP test will allow for differential diagnosis that rules out attention, language impairments, or learning disabilities as primary causes.
Step By Step Procedure
What to Expect on Your First Visit
Get to Know You & Understand Your Symptoms
Discuss Your Treatment Goals & Medical History
Determine Your Stage of Hearing Loss/Tinnitus
Answer All of Your Questions or Concerns
Begin a Custom Treatment Plan
CUSTOM TREATMENT PLAN
Begin Your Treatment Today
Request Your Consultation
Toronto Hearing Services Locations
The Audiology Centre (North York)
Business Hours:
Mon–Thurs: 8:00 am – 4:30 pm
Friday: 8:00 am – 1:00 pm
Phone: (416) 498–4151
FAX:
416–498–1589
Markham Stouffville Hearing Services
Business Hours:
Mon–Thurs: 8:00 am – 5:00 pm
Friday: 8:00 am – 1:30 pm
Phone: (905) 471-4327
FAX:
905-471-4338
West End Hearing Services
Business Hours:
Tue–Thurs: 8:00 am – 4:30 pm
Mon & Fri: Closed
Phone: (416) 233-8581
FAX:
416-233-4390

