Original title: Choosing a PEFT Variant for Per-Patient Dysarthric ASR: A Single-Speaker Case Study on Two ASR Bases
Bernard Muller, László Tóth, LaVonne Roberts · September 2026
Standard speech recognition often fails to understand people with dysarthria, a condition that makes speech hard to produce. Changing an entire speech model for every single patient takes up too much computer storage. Instead, researchers add small, plug-in adjustments called adapters to customize a system for just one speaker. The team tested seven adapter methods on two speech models for a post-stroke speaker with severe dysarthria. They discovered that basic LoRA adapters made huge improvements to transcription accuracy without needing complex upgrades. In fact, a popular version called DoRA offered no significant benefit over standard LoRA, while another variant, QLoRA, performed worse and saved no memory. Updating extra parts of the model came within 0.66 percentage points of changing the entire system, while using roughly 3.7 % of the storage. Furthermore, recording about 5 minutes of patient audio gave nearly half the accuracy gains of a 30-minute recording.
Imagine you're packing a suitcase for a trip. If you overpack, it won't close, but underpack might leave you missing essentials. Here, full fine-tuning is like packing everything—accurate but bulky. The LoRA adapter is like packing only the essentials, nearly as effective with a fraction of the space.
People with speech disorders like dysarthria often can't use standard voice assistants. This study finds efficient ways to personalize speech recognition for them, making technology more accessible without massive data or storage.
The study is based on a single speaker with severe post-stroke dysarthria speaking Hungarian. Results may not apply to other speakers, languages, or dysarthria types.
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Choosing a PEFT Variant for Per-Patient Dysarthric ASR: A Single-Speaker Case Study on Two ASR Bases — Bernard Muller, László Tóth, LaVonne Roberts
Abstract licence: CC0
Explanation generated by Synthesis from the abstract — it is not the original paper. This is a preprint, so it hasn't necessarily been peer reviewed.