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Paper · arXiv

When Audio-Language Models Fail to Leverage Multimodal Context for Dysarthric Speech Recognition

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 an...

AuthorsPehuén Moure, Niclas Pokel, Bilal Bounajma et al.
Primary categorycs.AI
Published4 May 2026
Last updated at source18 August 2026
cs.AIcs.CLeess.AS
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