ABSTRACT Automated dysarthria detection and severity assessment from speech have attracted significant research attention due to their potential clinical impact. Despite rapid progress in acoustic modeling and deep learning, models still fall short of human expert performance. This manuscript provides a comprehensive analysis of the reasons behind this gap, emphasizing a conceptual divergence we term the "perceptual-statistical gap". We detail human expert perceptual processes, survey machine learning representations and methods, review existing literature on feature sets and modeling strategies, and present a theoretical analysis of limits imposed by label noise and inter-rater variability. We further outline practical strategies to narrow the gap, perceptually motivated features, self-supervised pre-training, ASR-informed objectives, multimodal fusion, human-in-the-loop training, and explainability methods. Finally, we propose experimental protocols and evaluation metrics aligned with clinical goals to guide future research toward clinically reliable and interpretable dysarthria assessment tools. Index T erms-- Dysarthria assessment, speech intelligibility, perceptual modeling, machine learning, human-AI gap, explainable AI, self-supervised learning 1. INTRODUCTION Dysarthria comprises a set of motor speech disorders resulting from neurological impairment such as Parkinson's disease, amyotrophic lateral sclerosis (ALS), stroke, or cerebral palsy that affect speech motor control and coordination [1].

Federated learning is a common method for privacy-preserving training of machine learning models. In this paper, we analyze the vulnerability of ASR models to attribute inference attacks in the federated setting. We test a non-parametric white-box attack method under a passive threat model on three ASR models: Wav2Vec2, HuBERT, and Whisper. The attack operates solely on weight differentials without access to raw speech from target speakers. We demonstrate attack feasibility on sensitive demographic and clinical attributes: gender, age, accent, emotion, and dysarthria. Our findings indicate that attributes that are underrepresented or absent in the pre-training data are more vulnerable to such inference attacks. In particular, information about accents can be reliably inferred from all models. Our findings expose previously undocumented vulnerabilities in federated ASR models and offer insights towards improved security.

Automatic speech recognition (ASR) for dysarthric speech remains challenging due to data scarcity, particularly in non-English languages. To address this, we fine-tune a voice conversion model on English dysarthric speech (UASpeech) to encode both speaker characteristics and prosodic distortions, then apply it to convert healthy non-English speech (FLEURS) into non-English dysarthric-like speech. The generated data is then used to fine-tune a multilingual ASR model, Massively Multilingual Speech (MMS), for improved dysarthric speech recognition. Evaluation on PC-GIT A (Spanish), EasyCall (Italian), and SSNCE (Tamil) demonstrates that VC with both speaker and prosody conversion significantly outperforms the off-the-shelf MMS performance and conventional augmentation techniques such as speed and tempo perturbation. Objective and subjective analyses of the generated data further confirm that the generated speech simulates dysarthric characteristics.

ABSTRACT We present ChiReSSD, a speech reconstruction framework that preserves children speaker's identity while suppressing mispronunciations. Unlike prior approaches trained on healthy adult speech, ChiReSSD adapts to the voices of children with speech sound disorders (SSD), with particular emphasis on pitch and prosody. We evaluate our method on the ST AR dataset and report substantial improvements in lexical accuracy and speaker identity preservation. Furthermore, we automatically predict the phonetic content in the original and reconstructed pairs, where the proportion of corrected consonants is comparable to the percentage of correct consonants (PCC), a clinical speech assessment metric. Our experiments show Pearson correlation of ρ = 0.63 between automatic and human expert annotations, highlighting the potential to reduce the manual transcription burden. In addition, experiments on the TORGO dataset demonstrate effective generalization for reconstructing adult dysarthric speech. Our results indicate that disentangled, style-based TTS reconstruction can provide identity-preserving speech across diverse clinical populations.

State-of-the-art automatic speech recognition (ASR) models like Whisper, perform poorly on atypical speech, such as that produced by individuals with dysarthria. Past works for atypical speech have mostly investigated fully personalized (or idiosyncratic) models, but modeling strategies that can both generalize and handle idiosyncracy could be more effective for capturing atypical speech. To investigate this, we compare four strategies: (a) $\textit{normative}$ models trained on typical speech (no personalization), (b) $\textit{idiosyncratic}$ models completely personalized to individuals, (c) $\textit{dysarthric-normative}$ models trained on other dysarthric speakers, and (d) $\textit{dysarthric-idiosyncratic}$ models which combine strategies by first modeling normative patterns before adapting to individual speech. In this case study, we find the dysarthric-idiosyncratic model performs better than idiosyncratic approach while requiring less than half as much personalized data (36.43 WER with 128 train size vs 36.99 with 256). Further, we found that tuning the speech encoder alone (as opposed to the LM decoder) yielded the best results reducing word error rate from 71% to 32% on average. Our findings highlight the value of leveraging both normative (cross-speaker) and idiosyncratic (speaker-specific) patterns to improve ASR for underrepresented speech populations.

Automatic anonymization techniques are essential for ethical sharing of pathological speech data, yet their perceptual consequences remain understudied. We present a comprehensive human-centered analysis of anonymized pathological speech, using a structured protocol involving ten native and non-native German listeners with diverse linguistic, clinical, and technical backgrounds. Listeners evaluated anonymized-original utterance pairs from 180 speakers spanning Cleft Lip and Palate, Dysarthria, Dysglossia, Dysphonia, and healthy controls. Speech was anonymized using state-of-the-art automatic methods (equal error rates in the range of 30-40%). Listeners completed Turing-style discrimination and quality rating tasks under zero-shot (single-exposure) and few-shot (repeated-exposure) conditions. Discrimination accuracy was high overall (91% zero-shot; 93% few-shot), but varied by disorder (repeated-measures ANOVA: p=0.007), ranging from 96% (Dysarthria) to 86% (Dysphonia). Anonymization consistently reduced perceived quality across groups (from 83% to 59%, p<0.001), with pathology-specific degradation patterns (one-way ANOVA: p=0.005). Native listeners showed a non-significant trend toward higher original speech ratings (Delta=4%, p=0.199), but this difference was minimal after anonymization (Delta=1%, p=0.724). No significant gender-based bias was observed. Perceptual outcomes did not correlate with automatic metrics; intelligibility was linked to perceived quality in original speech but not after anonymization. These findings underscore the need for listener-informed, disorder-specific anonymization strategies that preserve both privacy and perceptual integrity.

Dysarthric speech poses significant challenges in developing assistive technologies, primarily due to the limited availability of data. Recent advances in neural speech synthesis, especially zero-shot voice cloning, facilitate synthetic speech generation for data augmentation; however, they may introduce biases towards dysarthric speech. In this paper, we investigate the effectiveness of state-of-the-art F5-TTS in cloning dysarthric speech using TORGO dataset, focusing on intelligibility, speaker similarity, and prosody preservation. We also analyze potential biases using fairness metrics like Disparate Impact and Parity Difference to assess disparities across dysarthric severity levels. Results show that F5-TTS exhibits a strong bias toward speech intelligibility over speaker and prosody preservation in dysarthric speech synthesis. Insights from this study can help integrate fairness-aware dysarthric speech synthesis, fostering the advancement of more inclusive speech technologies.

Automatic speech recognition (ASR) systems struggle with dysarthric speech due to high inter-speaker variability and slow speaking rates. To address this, we explore dysarthric-to-healthy speech conversion for improved ASR performance. Our approach extends the Rhythm and Voice (RnV) conversion framework by introducing a syllable-based rhythm modeling method suited for dysarthric speech. We assess its impact on ASR by training LF-MMI models and fine-tuning Whisper on converted speech. Experiments on the Torgo corpus reveal that LF-MMI achieves significant word error rate reductions, especially for more severe cases of dysarthria, while fine-tuning Whisper on converted data has minimal effect on its performance. These results highlight the potential of unsupervised rhythm and voice conversion for dysarthric ASR. Code available at: https://github.com/idiap/RnV

This study explores voice cloning to generate synthetic speech replicating the unique patterns of individuals with dysarthria. Using the TORGO dataset, we address data scarcity and privacy challenges in speech-language pathology. Our contributions include demonstrating that voice cloning preserves dysarthric speech characteristics, analyzing differences between real and synthetic data, and discussing implications for diagnostics, rehabilitation, and communication. We cloned voices from dysarthric and control speakers using a commercial platform, ensuring gender-matched synthetic voices. A licensed speech-language pathologist (SLP) evaluated a subset for dysarthria, speaker gender, and synthetic indicators. The SLP correctly identified dysarthria in all cases and speaker gender in 95% but misclassified 30% of synthetic samples as real, indicating high realism. Our results suggest synthetic speech effectively captures disordered characteristics and that voice cloning has advanced to produce high-quality data resembling real speech, even to trained professionals. This has critical implications for healthcare, where synthetic data can mitigate data scarcity, protect privacy, and enhance AI-driven diagnostics. By enabling the creation of diverse, high-quality speech datasets, voice cloning can improve generalizable models, personalize therapy, and advance assistive technologies for dysarthria. We publicly release our synthetic dataset to foster further research and collaboration, aiming to develop robust models that improve patient outcomes in speech-language pathology.

--Amyotrophic Lateral Sclerosis (ALS) constitutes a progressive neurodegenerative disease with varying symptoms, including decline in speech intelligibility. Existing studies, which recognize dysarthria in ALS patients by predicting the clinical standard ALSFRS-R, rely on feature extraction strategies and the design of customized convolutional neural networks followed by dense layers. However, recent studies have shown that neural networks adopting the logic of input-conditional computations enjoy a series of benefits, including faster training, better performance, and flexibility. T o resolve these issues, we present the first study incorporating hypernetworks for recognizing dysarthria. Specifically, we use audio files, convert them into log-Mel spectrogram, delta, and delta-delta, and pass the resulting image through a pretrained modified AlexNet model. Finally, we use a hypernetwork, which generates weights for a target network. Experiments are conducted on a newly collected publicly available dataset, namely VOC-ALS. Results showed that the proposed approach reaches Accuracy up to 82.66% outperforming strong baselines, including multimodal fusion methods, while findings from an ablation study demonstrated the effectiveness of the introduced methodology.