Organizations: State Key Laboratory of Digital Medical Engineering, Southeast University, Nanjing, China
Abstract
Individuals with dysarthria face significant challenges in professional speaking scenarios such as conferences, presentations, and meetings, where real-time communication is crucial. While existing Augmentative and Alternative Communication (AAC) systems provide basic support, they often fail to meet the demands of professional speaking environments due to high latency and unnatural speech patterns. This paper presents Re-Sonance, a novel LLM-enhanced speech-driven AAC system designed for real-time professional speaking scenarios. By integrating Whisper ASR, Qwen LLM, and CosyVoice TTS, Re-Sonance achieves improved speech intelligibility and naturalness while maintaining real-time performance. Both subjective and objective evaluations using a Mandarin dysarthric speech dataset demonstrate that our speech reconstruction approach significantly improved intelligibility while preserving semantic coherence for speakers with mild to moderate dysarthria. Although performance remains limited for severe dysarthria cases, our findings validate the potential of LLM-based methods for enhancing speech-driven AAC systems, paving the way for more effective and accessible communication technologies.
Dysarthria is a speech disorder marked by reduced intelligibility and communicative effectiveness. Automatic utterance-level assessment of dysarthric speech can support scalable speech monitoring and therapy-related analysis. Yet training such systems is bottlenecked by the scarcity of clinically annotated dysarthric speech. This work proposes to augment dysarthric speech assessment using data from speech synthesis evaluations, specifically human-annotated utterances with Mean Opinion Score (MOS) labels from the QualiSpeech corpus. Experiments show that fine-tuning on speech synthesis assessment data consistently improves performance on both intelligibility and naturalness prediction, while joint training yields gains primarily on naturalness. These results suggest that synthesis artifacts and dysarthric speech share perceptual commonalities, and speech synthesis evaluation corpora offer a practical augmentation source that reduces reliance on scarce clinical annotations.
Automatic speech recognition (ASR) systems often perform poorly in dysarthric speech, limiting their usefulness to affected speakers in everyday communication. This paper presents a personalized ASR system for a dysarthric speaker, built by adapting a foundation ASR model to speaker-specific data. Using the TEQST tool, we collected 92 hours of read speech and later added 8.8 hours of user corrections gathered through a deployed mobile application. Starting from Whisper, fine-tuning reduced word error rate to 15.8% with only 1.4 hours of adaptation data, reached 10.7% with 22.5 hours, and achieved the best result of 9.7% when using all available data including the corrections. Using LoRA adaptation and/or Qwen3-ASR as foundation model performed worse in this setting. The results show that personalized fine-tuning can make foundation ASR models substantially more effective for dysarthric speech and suitable for practical deployment.
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.