We previously introduced a training-free method for dysarthria severity assessment based on d-prime separability of phonological feature subspaces in frozen self-supervised speech representations, validated on 890 speakers across 5 languages with HuBERT-base. Here, we scale the analysis to 3,374 speakers from 25 datasets spanning 12 languages and 5 aetiologies (Parkinson's disease, cerebral palsy, ALS, Down syndrome, and stroke), plus healthy controls, using 6 SSL backbones. We report three findings. First, aetiology-specific degradation profiles are distinguishable at the group level: 10 of 13 features yield large effect sizes (epsilon-squared > 0.14, Holm-corrected p < 0.001), with Parkinson's disease separable from the articulatory execution group at Cohen's d = 0.83; individual-level classification remains limited (22.6% macro F1). Second, profiles show cross-lingual profile-shape stability: cosine similarity of 5-dimensional consonant d-prime profiles exceeds 0.95 across the languages available for each aetiology. Absolute d-prime magnitudes are not cross-lingually calibrated, so the method supports language-independent phenotyping of degradation patterns but requires within-corpus calibration for absolute severity interpretation. Third, the method is architecture-independent: all 6 backbones produce monotonic severity gradients with inter-model agreement exceeding rho = 0.77. Fixed-token d-prime estimation preserves the severity correlation (rho = -0.733 at 200 tokens per class), confirming that the signal is not a token-count artefact. These results support phonological subspace analysis as a robust, training-free framework for aetiology-aware dysarthria characterisation, with evidence of cross-lingual profile-shape stability and cross-backbone robustness in the represented sample.
Most multilingual dysarthria-severity systems either train on a single aetiology-language pair or pool heterogeneous aetiologies into one label space. We test that pooling assumption with four matched HuBERT-base contrastive embedding models under a shared backbone, training recipe, corpus registry and held-out evaluation: one mixed-aetiology baseline and three aetiology-specific models for cerebral palsy (CP), Parkinson's disease (PD) and amyotrophic lateral sclerosis (ALS). Training combines clinically labelled speech with ordinal pseudo-labels from a training-free phonological profiling method [1], [2]. On speaker-disjoint, leakage-filtered held-out subsets, the per-aetiology models outperform the mixed baseline across all three target aetiologies: CP (macro F1 0.829 vs 0.676, +22.6 % relative), PD (0.715 vs 0.511, +40.0 %) and ALS (0.788 vs 0.596, +32.3 %). On CP, adding 144 SAP and 44 CDSD pseudo-labelled speakers lifts macro F1 from 0.786 to 0.829 over a clinical-only CP model (+4.3 percentage points). Training data span three to seven languages per aetiology. We position this as a controlled comparison of label-space design choices and discuss pseudo-label calibration, split hygiene, and confidence-thresholded deployment as important limitations for future work.
Bernard Muller, Antonio Armando Ortiz Barrañón, LaVonne Roberts
Automatic dysarthria severity assessment is limited by the scarcity of labeled pathological speech data. To address this, we propose Cross-lingual Retrieval-Augmented Classification (CRAC), which leverages speech from a different language via an align-retrieve-fuse pipeline. Supervised contrastive learning first shapes a severity-focused embedding space, then a vector database is built from the opposite-language corpus. During both training and inference, the classifier retrieves top-k references from the aligned space and fuses them with the input via cross-attention. Evaluated on Korean post-stroke and Italian ALS dysarthria datasets under a speaker-independent three-class protocol, CRAC achieves balanced accuracies of 87.3% on Korean and 86.7% on Italian, improving over monolingual baselines by 8.4 and 20.0 percentage points, respectively.
The limited availability of dysarthric speech data makes cross-lingual detection an important but challenging problem. A key difficulty is that speech representations often encode language-dependent structure that can confound dysarthria detection. We propose a representation-level language shift (LS) that aligns source-language self-supervised speech representations with the target-language distribution using centroid-based vector adaptation estimated from healthy-control speech. We evaluate the approach on oral DDK recordings from Parkinson's disease speech datasets in Czech, German, and Spanish under both cross-lingual and multilingual settings. LS substantially improves sensitivity and F1 in cross-lingual settings, while yielding smaller but consistent gains in multilingual settings. Representation analysis further shows that LS reduces language identity in the embedding space, supporting the interpretation that LS removes language-dependent structure.