Traditional ASR metrics like WER and CER fail to capture intelligibility, especially for dysarthric and dysphonic speech, where semantic alignment matters more than exact word matches. ASR systems struggle with these speech types, often producing errors like phoneme repetitions and imprecise consonants, yet the meaning remains clear to human listeners. We identify two key challenges: (1) Existing metrics do not adequately reflect intelligibility, and (2) while LLMs can refine ASR output, their effectiveness in correcting ASR transcripts of dysarthric speech remains underexplored. To address this, we propose a novel metric integrating Natural Language Inference (NLI) scores, semantic similarity, and phonetic similarity. Our ASR evaluation metric achieves a 0.890 correlation with human judgments on Speech Accessibility Project data, surpassing traditional methods and emphasizing the need to prioritize intelligibility over error-based measures.

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].

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.

Speech disorders can make communication hard or even impossible for those who develop them. Personalised Text-to-Speech is an attractive option as a communication aid. We attempt voice reconstruction using a large speech model, with which we generate an approximation of a dysarthric speaker's voice prior to the onset of their condition. In particular, we investigate whether a state-of-the-art large speech model, Parler TTS, can generate intelligible speech while maintaining speaker identity. We curate a dataset and annotate it with relevant speaker and intelligibility information, and use this to fine-tune the model. Our results show that the model can indeed learn to generate from the distribution of this challenging data, but struggles to control intelligibility and to maintain consistent speaker identity. We propose future directions to improve controllability of this class of model, for the voice reconstruction task.

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.

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.

Dysarthria is a neurological disorder that significantly impairs speech intelligibility, often rendering affected individuals unable to communicate effectively. This necessitates the development of robust dysarthric-to-regular speech conversion techniques. In this work, we investigate the utility and limitations of self-supervised learning (SSL) features and their quantized representations as an alternative to mel-spectrograms for speech generation. Additionally, we explore methods to mitigate speaker variability by generating clean speech in a single-speaker voice using features extracted from WavLM. To this end, we propose a fully non-autoregressive approach that leverages Conditional Flow Matching (CFM) with Diffusion Transformers to learn a direct mapping from dysarthric to clean speech. Our findings highlight the effectiveness of discrete acoustic units in improving intelligibility while achieving faster convergence compared to traditional mel-spectrogram-based approaches.

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

Despite the remarkable progress in end-to-end Automatic Speech Recognition (ASR) engines, accurately transcribing dysarthric speech remains a major challenge. In this work, we proposed a two-stage framework for the Speech Accessibility Project Challenge at INTERSPEECH 2025, which combines cutting-edge speech recognition models with LLM-based generative error correction (GER). We assess different configurations of model scales and training strategies, incorporating specific hypothesis selection to improve transcription accuracy. Experiments on the Speech Accessibility Project dataset demonstrate the strength of our approach on structured and spontaneous speech, while highlighting challenges in single-word recognition.

Purpose: This commentary introduces how artificial intelligence (AI) can be leveraged to advance cross-language intelligibility assessment of dysarthric speech. Method: We propose a conceptual framework consisting of a universal model that captures language-universal speech impairments and a language-specific intelligibility model that incorporates linguistic nuances. Additionally, we identify key barriers to cross-language intelligibility assessment, including data scarcity, annotation complexity, and limited linguistic insights, and present AI-driven solutions to overcome these challenges. Conclusion: Advances in AI offer transformative opportunities to enhance cross-language intelligibility assessment for dysarthric speech by balancing scalability across languages and adaptability by languages.