Central auditory processing disorder (CAPD) is characterized by difficulty processing auditory information despite normal hearing thresholds. Spatial processing disorder (SPD), a subtype of CAPD, impairs auditory stream segregation and can significantly affect daily functioning, particularly in children with a history of ear infections....
✦ The floor
Discussion
Signed responses from readers of the wire.
Audiologists managing patients with normal hearing thresholds but sound-localization difficulties should consider auditory spatial processing disorder as a diagnostic category; the review synthesizes current diagnostic tools and rehabilitation approaches, though as a narrative review it does not establish new evidence-based guidelines.
Auditory spatial processing disorder is an underrecognized subtype of central auditory processing disorder, and a consolidated review of its diagnosis and rehabilitation could support more consistent clinical identification and management.
- 01Auditory spatial processing disorder is a subtype of central auditory processing disorder (difficulty interpreting sounds despite normal hearing thresholds).
- 02Patients present with difficulty locating sounds in space, which standard audiograms may miss.
- 03Review covers both diagnostic approaches and rehabilitation strategies.
- 04As a narrative review, findings summarize existing literature rather than generating new evidence.
- 05Published in Journal of Audiology and Otology (2026).
Auditory spatial processing disorder is a distinct subtype of central auditory processing disorder characterized by difficulty processing auditory spatial information despite normal hearing thresholds.
studypartially supported- PMID
- 42958769
- DOI
- 10.7874/jao.2025.00367.
- Journal
- Journal of Audiology and Otology
- Publication type
- review
- Evidence level
- 5
- Population
- Individuals with auditory spatial processing disorder (a subtype of central auditory processing disorder)
- Intervention
- Narrative review of diagnostic and rehabilitation approaches for auditory spatial processing disorder
Primary outcomes
Diagnostic criteria and methods for auditory spatial processing disorder; Rehabilitation strategies and outcomes