Revisiting Rule-Based Stuttering Detection: A Comprehensive Analysis of Interpretable Models for Clinical Applications

Stuttering affects approximately 1% of the global population, impacting communication and quality of life. While recent advances in deep learning have pushed the boundaries of automatic speech dysfluency detection, rule-based approaches remain crucial for clinical applications where interpretability and transparency are paramount. This paper presents a comprehensive analysis of rule-based stuttering detection systems, synthesizing insights from multiple corpora including UCLASS, FluencyBank, and SEP-28k. We propose an enhanced rule-based framework that incorporates speaking-rate normalization, multi-level acoustic feature analysis, and hierarchical decision structures. Our approach achieves competitive performance while maintaining complete interpretability-critical for clinical adoption. We demonstrate that rule-based systems excel particularly in prolongation detection (97-99% accuracy) and provide stable performance across varying speaking rates. Furthermore, we show how these interpretable models can be integrated with modern machine learning pipelines as proposal generators or constraint modules, bridging the gap between traditional speech pathology practices and contemporary AI systems. Our analysis reveals that while neural approaches may achieve marginally higher accuracy in unconstrained settings, rule-based methods offer unique advantages in clinical contexts where decision auditability, patient-specific tuning, and real-time feedback are essential.