Frequently asked questions
Cognitive Health Assessments™ help healthcare professionals, patients and organizations invested in understanding, treating and training the brain by providing objective data on brain performance. For overviews of how VoxNeuro helps each of these stakeholders, visit Who We Help.
Cognitive Health Assessments™ are valuable to anyone in need of reliable, trackable objective data on brain function. For example, understanding the effects of pharmaceuticals on brain function in clinical trials, monitoring the effects of aging, monitoring the brain health of athletes, to name a few.
Concussion & Acquired Brain Injury
Yes. Cognitive Health Assessments™ measure the health and performance of the brain. This information is beneficial for any type of brain injury.
For concussion and mild traumatic brain injury, Cognitive Health Assessments™ inform if cognitive rehabilitation is required, and if a full neuropsychological assessment may be recommended.
For acquired (ex. stroke, heart attack) and traumatic injuries (ex. car accidents, falls, victims of violence), Cognitive Health Assessments™ indicate potential for treatment.
Cognitive Health Assessments™ do not provide a diagnosis. Diagnoses can be provided by primary care providers, nurse practitioners, and clinical specialists in brain injury.
Cognitive Health Assessments™ are a tool for clinicians to use to objectively inform their clinical decision making, which can include making an initial diagnosis, or to corroborate an existing diagnosis.
- Centers for Disease Control & Prevention: HEADS UP Resource Center (https://www.cdc.gov/headsup/resources/index.html)
- Centers for Disease Control & Prevention:
Traumatic Brain Injury & Concussion resources (https://www.cdc.gov/traumaticbraininjury/index.html)
- 5th International Consensus on Concussion in Sport available through the British Journal of Sports Medicine (bjsm.bmj.com)
- Guideline for Concussion/Mild Traumatic Brain Injury & Persistent Symptoms – 3rd Edition, For Adults over 18 Years of Age, created by the Ontario Neurotrauma Foundation (braininjuryguidelines.org)
- Ontario.ca’s Rowan’s Law: Concussion Safety resources: (https://www.ontario.ca/page/rowans-law-concussion-safety)
- Concussions Ontario’s resources – sponsored and led by the Ontario Neurotrauma Foundation (concussionontario.org)
- Canadian Guideline on Concussion in Sport available through Parachute Canada (https://parachute.ca/en/injury-topic/concussion/)
- Concussion ED app created by Parachute Canada, available for download to your mobile on Apple and iOS devices (http://www.parachutecanada.org/injury-topics/item/2587)
- Brain Injury Canada: Links to brain injury associations across Canada that provide support support, information, education, advocacy, and a variety of programs and services to those affected by acquired brain injury.(https://www.braininjurycanada.ca/abi-associations/)
See Get Started and complete an inquiry form. A member of VoxNeuro’s team will reach out to understand your utility and discuss integration.
Standard assessments for the brain include physical, behavioural or neurological testing, CT or MRI scans. What’s missing from these standard assessments is a full objective assessment of cognitive brain function – the root of any functional impairments a patient may experience.
With VoxNeuro’s Cognitive Health Assessments™, you are armed with objective data to customize your treatment strategies quickly and efficiently. VoxNeuro’s reports aid healthcare professionals in eliminating the subjectivity involved in current cognitive assessment methods.
For more detailed information, visit The Science page.
Patient reports include objective data from measured brain activity for the following cognitive functions: Executive function, language comprehension, working memory, automatic attention, reactive attention, concentration, information processing, auditory processing, and visual processing.
Reports are available 2-5 business days following an assessment.
The frequency of Cognitive Health Assessments™ depends on the utility. For patients experiencing cognition-related symptoms, an initial assessment is used to assist in an accurate diagnosis, and follow-up assessments are used throughout rehabilitation or treatment to track progress. For general brain health tracking, Cognitive Health Assessments™ can be used during general health checkups to track a patient’s brain health and flag any abnormalities for further investigation.
VoxNeuro’s Cognitive Health Assessments™ are backed by 25+ years of globally funded research. See Foundational Research for publications and peer reviewed journals that document the research behind the methods performed in VoxNeuro’s Cognitive Health Assessments™.
VoxNeuro’s assessments help streamline the patient care pathway and are best utilized as part of a multidisciplinary approach. For neuropsychology specifically, the results of a Cognitive Health Assessment™ can be used as a screening tool to confirm the need for a neuropsychological assessment to assess the impact of any functional deficits on emotional health. Additionally, they can be used to assist in validating and supporting neuropsychological assessment results with objective data.
Various medications and psychoactive substances may cause the results of the assessment to deviate from ‘normal’ values. To ensure this is taken into consideration during the clinical examination of their report, patients are screened for this information during the patient intake process.
Owing to decades of research preceding the commercial launch of VoxNeuro’s Cognitive Health Assessments™, as well as continuous expansion of the normative database, VoxNeuro has a rich collection of data from patients of different genders spanning 7 years of age to 70+. With this database to compare a patient’s results to, a baseline is not required.
No, the Cognitive Health Assessments™ offered are extremely sensitive measurements and as a result can be useful in both the acute and chronic phases of injury. You can explore more on how our assessments benefit individuals years removed from their injuries in the publication Disruption of Function: Neurophysiological markers of cognitive deficits in retired football players and in the award winning series Collision Course.
A Cognitive Health Assessment™ report summarizes the health of a brain’s performance. It breaks this performance into core and base functions, so each can be examined individually. This ability to assess each individual function is unique to VoxNeuro’s Cognitive Health Assessments™. The data provided allows healthcare professionals to objectively review each cognitive function, and provide treatment plans specific to a patient’s unique needs as indicated by any sub-normal responses.
Yes. Coverage may be provided through workplace insurance and through motor-vehicle accident (MVA) insurance. Coverage may also be possible through personal extended benefits.
All coverage options are dependent on the nature of the patient’s injury and the coverage provided by the insurer. Granting funding is up to the insurer, on a case by case basis and is not guaranteed.
Appointments run between 1.5 – 2 hours. This includes the patient completing self-report inventories prior to the EEG portion of the assessment, which takes 45 minutes to complete.
EEG differs from neuroimaging techniques like MRI or CT scans in the following ways:
- EEG is non-invasive and does not give off any radiation. Unlike CT & MRI, it does not take images of the brain, but instead measures the electrical activity that is naturally emitted from the brain. This is done by inserting conductive gel between the scalp and the EEG cap, similar to what is used in an ultrasound
- EEG does not restrict patients who have metal components in their bodies such as metal plates or implants, unlike MRIs
- EEG does not require any tight spaces to complete
- EEG can be done in a relatively comfortable set up, with the patient seated in a chair and the EEG cap placed over their head – similar to a shower cap
There are a number of ways EEG can be utilized in clinical testing. Visit How Cognitive Health Assessments™ are different from traditional EEG, to learn more.
No, patients will not feel anything happening to their brain or body during the Cognitive Health Assessment™ that they would not otherwise feel during regular daily life. No part of the assessment should cause any physical pain or discomfort whatsoever. Patients may experience mental fatigue from concentrating on completing the tasks.
Prior to completing the EEG portion of the assessment, patients are screened for if they experience epileptic seizures, hearing or visual impairments. Alternate test formats may be used to accommodate.
Yes, VoxNeuro Certified Clinics are equipped to offer accommodations to the testing protocol to allow patients with auditory and visual impairments to complete the testing. This should be noted at time of booking.
VoxNeuro currently only offers assessments in English. If English is not the patient’s first language, accommodations may be made to facilitate the assessment. Ask your VoxNeuro Certified Clinic for more details.
No. Patients seeking to book a Cognitive Health Assessment™ may reach out to a VoxNeuro Certified Clinic directly.
Review results & prepare next steps:
Reports are ready 2-5 days post-assessment. Using your report, healthcare professionals can create a customized plan based on the specific areas of cognitive function identified as performing below healthy norms.
If interventions are pursued, VoxNeuro recommends retesting throughout the intervention to quantify progress and improvements in cognitive functioning.
No, VoxNeuro is a private outsourced lab developed service.
See Q: Are Cognitive Health Assessments™ eligible for coverage from any types of insurance? for more details.
No, VoxNeuro does not facilitate funding coverage.
If you are eligible, assistance in funding coverage may be pursued with VoxNeuro Certified Clinics.
See Q: Are Cognitive Health Assessments™ eligible for coverage from any types of insurance? for more details.
VoxNeuro’s Cognitive Health Assessments™ run advanced
electroencephalography (EEG) simultaneous to neuropsychological tests. By pairing widely used and validated neuropsychological assessment methods with EEG, VoxNeuro transforms what would be qualitative results from traditional, subjective testing into objective, quantifiable measurements of brain function.
With VoxNeuro’s Cognitive Health Assessments™, healthcare professionals are armed with objective data to customize treatment strategies quickly and efficiently. VoxNeuro’s reports aid healthcare professionals in eliminating the subjectivity involved in current cognitive assessment methods.
Symptoms are caused by deficits in brain function. VOXNEURO’s Cognitive Health Assessments™ aid healthcare providers to:
• Personalize treatment plans
• Make stronger treatment decisions
• Track recovery
The most frequently reported impairments that prevent individuals from returning to work / regular activity after a neurological event are cognitive difficulties (ONF Brain Injury Guidelines, 3rd Edition – 2018, Pg 5). Some examples include thinking, concentrating, memory, processing environmental stimuli, and executive function: a complex cognitive process that affects an individual’s ability to multitask, prioritize, organize, and have effective time management.
VoxNeuro’s assessments arm healthcare professionals with vital, objective data on a patient’s brain activity in all core functions, including:
- auditory processing (ability to hear a stimulus)
- visual processing (ability to see a stimulus)
- information processing
- language comprehension (ie. ability to follow conversations or reading text)
- automatic attention
- reactive attention
- working memory
- executive function (ie. ability to make decisions, working memory, problem solving, planning & organization)
This objective data allows healthcare professionals to pinpoint and address the root of the cognitive impairments a patient is dealing with, in addition to treating observable/reported symptoms and functional impairments. Knowing areas of cognitive deficit is essential for rehabilitation professionals to facilitate the patient’s return to pre-accident functioning and improve their quality of life.
VoxNeuro’s assessments add value in confirming if a patient’s symptoms are not associated with cognitive deficits, meaning their symptoms may be due to mood disorders, pain, musculoskeletal injuries or other causes. With VoxNeuro, healthcare teams are armed with objective data to customize a patient’s care path and rehabilitation quickly and efficiently with a 45-minute assessment and 2-5 day report turn around – helping cut down timelines and streamline paths for specialized care.