It seems to me that the precise time of ignition may be hard to fix. There's a noticeable "clack" in the downlink at liftoff. I can't tell for sure what that is, probably the firing of the separation pyros. And I don't know when the helium pyros pressurizing the propellant tanks were fired, or if the ascent engine propellant valves were opened before, after or precisely at the same instant as the separation pyros. Some helium might be trapped in the propellant lines. And when the propellants do reach the engine, it takes a short time for ignition to occur and chamber pressure to increase.
Also, I wouldn't assume perfect synchronization between the audio and video. The video is coming from the LRV, the audio from the LM, and they take very different paths both in signal processing and in earthbound transmission from the tracking site to Houston. You probably wouldn't notice any lipsynch problems with astronauts whose faces are usually obscured by visors.