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Automatic Speech Recognition for Intelligibility Assessment in Children With Dysarthria.
Jiyoung Choi1, Gemma Moya-Galé1, KyungHae Hwang2
1Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY.
Journal of Speech, Language, and Hearing Research : JSLHR
|February 26, 2026
Summary
Automatic speech recognition (ASR) shows promise for assessing speech intelligibility in children with dysarthria. WhisperX-medium best approximated human transcription accuracy, while Google Cloud ASR aligned with perceptual ratings.
Area of Science:
- Speech-language pathology
- Computational linguistics
- Assistive technology
Background:
- Accurate speech intelligibility assessment is crucial for children with cerebral palsy-related dysarthria.
- Traditional methods like human transcription and perceptual ratings are time-consuming and subjective.
- Automatic Speech Recognition (ASR) offers a potential objective and efficient alternative.
Purpose of the Study:
- To evaluate the efficacy of ASR systems for assessing speech intelligibility in children with dysarthria.
- To identify optimal ASR systems that correlate with human listener judgments.
- To explore ASR's potential as a clinical tool for this population.
Main Methods:
- Five ASR systems transcribed speech samples from 20 children with dysarthria.
- 168 adult listeners provided orthographic transcriptions and ease of understanding (EoU) ratings.
- Word Recognition Rate (WRR) was calculated for ASR and human transcriptions; Spearman correlations assessed relationships.
Main Results:
- Four ASR systems (WhisperX-small, -medium, -large, and Google Cloud) showed strong correlations with human WRR, with WhisperX-medium being highest.
- These four systems also demonstrated moderate-to-strong correlations with human EoU ratings, led by Google Cloud ASR.
- Wav2Vec2 showed weak correlations with both human WRR and EoU ratings.
Conclusions:
- ASR holds significant promise for speech intelligibility assessment in children with dysarthria.
- WhisperX-medium is recommended for approximating human transcription accuracy.
- Google Cloud ASR is suggested for aligning with perceptual ease of understanding ratings.
- Careful selection of ASR systems is vital for effective clinical application.
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