Stuttered and dysfluent speech detection systems have traditionally suffered from the trade-off between accuracy and clinical interpretability. While end-to-end deep learning models achieve high performance, their black-box nature limits clinical adoption. This paper looks at the Unconstrained Dysfluency Modeling (UDM) series-the current state-of-the-art framework developed by Berkeley that combines modular architecture, explicit phoneme alignment, and interpretable outputs for real-world clinical deployment. Through extensive experiments involving patients and certified speech-language pathologists (SLPs), we demonstrate that UDM achieves state-of-the-art performance (F1: 0.89+-0.04) while providing clinically meaningful interpretability scores (4.2/5.0). Our deployment study shows 87% clinician acceptance rate and 34% reduction in diagnostic time. The results provide strong evidence that UDM represents a practical pathway toward AI-assisted speech therapy in clinical environments.

Recent advances in dysfluency detection have introduced a variety of modeling paradigms, ranging from lightweight object-detection inspired networks (YOLOStutter) to modular interpretable frameworks (UDM). While performance on benchmark datasets continues to improve, clinical adoption requires more than accuracy: models must be controllable and explainable. In this paper, we present a systematic comparative analysis of four representative approaches--YOLO-Stutter, FluentNet, UDM, and SSDM--along three dimensions: performance, controllability, and explainability. Through comprehensive evaluation on multiple datasets and expert clinician assessment, we find that YOLO-Stutter and FluentNet provide efficiency and simplicity, but with limited transparency; UDM achieves the best balance of accuracy and clinical interpretability; and SSDM, while promising, could not be fully reproduced in our experiments. Our analysis highlights the trade-offs among competing approaches and identifies future directions for clinically viable dysfluency modeling. We also provide detailed implementation insights and practical deployment considerations for each approach.

Stuttering affects approximately 1% of the global population, impacting communication and quality of life. While recent advances in deep learning have pushed the boundaries of automatic speech dysfluency detection, rule-based approaches remain crucial for clinical applications where interpretability and transparency are paramount. This paper presents a comprehensive analysis of rule-based stuttering detection systems, synthesizing insights from multiple corpora including UCLASS, FluencyBank, and SEP-28k. We propose an enhanced rule-based framework that incorporates speaking-rate normalization, multi-level acoustic feature analysis, and hierarchical decision structures. Our approach achieves competitive performance while maintaining complete interpretability-critical for clinical adoption. We demonstrate that rule-based systems excel particularly in prolongation detection (97-99% accuracy) and provide stable performance across varying speaking rates. Furthermore, we show how these interpretable models can be integrated with modern machine learning pipelines as proposal generators or constraint modules, bridging the gap between traditional speech pathology practices and contemporary AI systems. Our analysis reveals that while neural approaches may achieve marginally higher accuracy in unconstrained settings, rule-based methods offer unique advantages in clinical contexts where decision auditability, patient-specific tuning, and real-time feedback are essential.

Current de-facto dysfluency modeling methods utilize template matching algorithms which are not generalizable to out-of-domain real-world dysfluencies across languages, and are not scalable with increasing amounts of training data. To handle these problems, we propose Stutter-Solver: an end-to-end framework that detects dysfluency with accurate type and time transcription, inspired by the YOLO object detection algorithm. Stutter-Solver can handle co-dysfluencies and is a natural multi-lingual dysfluency detector. To leverage scalability and boost performance, we also introduce three novel dysfluency corpora: VCTK-Pro, VCTK-Art, and AISHELL3-Pro, simulating natural spoken dysfluencies including repetition, block, missing, replacement, and prolongation through articulatory-encodec and TTS-based methods. Our approach achieves state-of-the-art performance on all available dysfluency corpora. Code and datasets are open-sourced at https://github.com/eureka235/Stutter-Solver

Speech disfluency modeling is the bottleneck for both speech therapy and language learning. However, there is no effective AI solution to systematically tackle this problem. We solidify the concept of disfluent speech and disfluent speech modeling. We then present Hierarchical Unconstrained Disfluency Modeling (H-UDM) approach, the hierarchical extension of UDM that addresses both disfluency transcription and detection to eliminate the need for extensive manual annotation. Our experimental findings serve as clear evidence of the effectiveness and reliability of the methods we have introduced, encompassing both transcription and detection tasks.