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 severity assessment is essential for therapy planning and longitudinal monitoring, yet manual perceptual rating is time-consuming and variable across clinicians. Although deep learning models achieve strong performance, their black-box nature limits clinical adoption. Existing speech explainability methods typically provide acoustic feature importance scores that are difficult for end-users to interpret. We propose an influence-based, instance-level explainability framework that explains each decision through supportive and competing training samples. Using gradient-based influence approximations, we compute per-utterance influence scores to identify supportive and competing training samples for each prediction. Controlled deletion experiments from 5 to 20 percent validate the explanations, showing that removing highly influential samples systematically shifts predictions. This approach provides auditable explanations by linking decisions to perceptible reference cases.