Pehuén Moure

Pehuén Moure, Niclas Pokel, Bilal Bounajma et al.

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.

Niclas Pokel, Pehuén Moure, Roman Boehringer et al.

Speech impairments caused by conditions such as cerebral palsy or genetic disorders pose significant challenges for automatic speech recognition (ASR) systems. Despite recent advances, ASR models like Whisper struggle with non-normative speech due to limited training data and the difficulty of collecting and annotating non-normative speech samples. In this work, we propose a practical and lightweight pipeline to personalize ASR models, formalizing the selection of words and enriching a small, speech-impaired dataset with semantic coherence. Applied to data from a child with a structural speech impairment, our approach shows promising improvements in transcription quality, demonstrating the potential to reduce communication barriers for individuals with atypical speech patterns.

Niclas Pokel, Pehuén Moure, Roman Boehringer et al.

Speech impairments resulting from congenital disorders, such as cerebral palsy, down syndrome, or apert syndrome, as well as acquired brain injuries due to stroke, traumatic accidents, or tumors, present major challenges to automatic speech recognition (ASR) systems. Despite recent advancements, state-of-the-art ASR models like Whisper still struggle with non-normative speech due to limited training data availability and high acoustic variability. Moreover, collecting and annotating non-normative speech is burdensome: speaking is effortful for many affected individuals, while laborious annotation often requires caregivers familiar with the speaker. This work introduces a novel ASR personalization method based on Bayesian Low-rank Adaptation for data-efficient fine-tuning. We validate our method on the English UA-Speech dataset and a newly collected German speech dataset, BF-Sprache, from a child with structural speech impairment. The dataset and approach are designed to reflect the challenges of low-resource settings that include individuals with speech impairments. Our method significantly improves ASR accuracy for impaired speech while maintaining data and annotation efficiency, offering a practical path toward inclusive ASR.

Niclas Pokel, Pehuén Moure, Roman Boehringer et al.

Automatic speech recognition (ASR) systems struggle with non-normative speech from individuals with impairments caused by conditions like cerebral palsy or structural anomalies. The high acoustic variability and scarcity of training data severely degrade model performance. This work introduces a data-efficient personalization method that quantifies phoneme-level uncertainty to guide fine-tuning. We leverage Monte Carlo Dropout to estimate which phonemes a model finds most difficult and use these estimates for a targeted oversampling strategy. We validate our method on English and German datasets. Crucially, we demonstrate that our model-derived uncertainty strongly correlates with phonemes identified as challenging in an expert clinical logopedic report, marking, to our knowledge, the first work to successfully align model uncertainty with expert assessment of speech difficulty. Our results show that this clinically-validated, uncertainty-guided sampling significantly improves ASR accuracy, delivering a practical framework for personalized and inclusive ASR.