Adapting Foundation ASR Models to Dysarthric Speech: A Case Study

Automatic speech recognition (ASR) performance degrades sharply on dysarthric speech, yet how disordered articulation reshapes a model's internal representations is underexplored. We present a layer-wise probing analysis of a transformer ASR encoder on Mandarin dysarthric speech under three transcript-matched conditions: original dysarthric speech, speaker conditioned zero-shot TTS resynthesis, and unconditioned TTS. The probes reveal a task-dependent hierarchy: phoneme boundary information stays weak for dysarthric speech at every layer, phoneme identity becomes recoverable toward the upper layers, and recognition difficulty is encoded in the deepest layers. Tone-sensitive evaluation shows Mandarin lexical tone is a persistent error source. Cross-condition similarity divergence grows with depth, indicating that disordered speech affects high-level representations more than low-level acoustic features. Guided by these findings, single-layer LoRA at layer 7 and adaptation on subset layers 5-8 achieve performance within 3.5% and 2.48% relative margins of full encoder adaptation, respectively, while upper-layer adaptation is less effective for dysarthric speech. These findings link representation analysis to parameter-efficient fine-tuning and motivate layer-aware adaptation for low-resource Mandarin dysarthric ASR.

In our goal to develop personalised dysarthric speech recognition (DSR) models, this study compared the recognition performances of human listeners and those of three state-of-the-art, off-the-shelf ASR systems (Whisper-large-V3, Google Chirp 3, and Omnilingual) on the recognition of Dutch continuous read and spontaneous speech from a single speaker with severe dysarthria. Results showed that both humans listeners and the three off-the-shelf ASR systems exhibit word error rates (WER) exceeding 70% on average, indicating that DSR is highly challenging for both humans and ASR systems. Fine-tuning on the dysarthric speech significantly reduced WER. Although overall WERs are still quite high (>23%), the personalised DSR models outperformed the human listeners, and performance is getting closer to being useful for supporting day-to-day communication of dysarthric speakers. Future research should focus on improving personalized DSR on spontaneous speech and longer utterances in the case of read speech, with a specific focus on particular phonemes.

Automatic speech recognition (ASR) systems remain brittle on dysarthric and other atypical speech. Recent audio-language models raise the possibility of improving performance by conditioning on additional clinical context at inference time, but it is unclear whether these models can make use of such information. We introduce a benchmark built on the Speech Accessibility Project (SAP) dataset that tests whether diagnosis labels, clinician-derived speech ratings, and progressively richer clinical descriptions improve transcription accuracy for dysarthric speech. Across matched comparisons on nine models, we find that current models do not meaningfully use this context: diagnosis-informed and clinically detailed prompts yield negligible improvements and often degrade word error rate. We complement the prompting analysis with context-dependent fine-tuning, showing that LoRA adaptation with a mixture of clinical prompt formats achieves a WER of 0.066, a 52% relative reduction over the frozen baseline, while preserving performance when context is unavailable. Subgroup analyses reveal significant gains for Down syndrome and mild-severity speakers. These results clarify where current models fall short and provide a testbed for measuring progress toward more inclusive ASR.