# Improving Pain Classification using Spatio-Temporal Deep Learning Approaches with Facial Expressions

arXiv: https://arxiv.org/abs/2501.06787 · HTML: https://mlsanity.com/paper/2501.06787/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 10 of its 35 references that are in the map.
- First posted on arXiv 12 Jan 2025.

## Builds on (most cited first, 10 of 10)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [ImageNet Large Scale Visual Recognition Challenge](https://mlsanity.com/paper/1409.0575/) (2014)
- [Layer Normalization](https://mlsanity.com/paper/1607.06450/) (2016)
- [A ConvNet for the 2020s](https://mlsanity.com/paper/2201.03545/) (2022)
- [Gaussian Error Linear Units (GELUs)](https://mlsanity.com/paper/1606.08415/) (2016)
- [Spatial Temporal Graph Convolutional Networks for Skeleton-Based Action Recognition](https://mlsanity.com/paper/1801.07455/) (2018)
- [Batch Renormalization: Towards Reducing Minibatch Dependence in Batch-Normalized Models](https://mlsanity.com/paper/1702.03275/) (2017)
- [Recurrent Convolutional Neural Network Regression for Continuous Pain Intensity Estimation in Video](https://mlsanity.com/paper/1605.00894/) (2016)
- [D-STGCNT: A Dense Spatio-Temporal Graph Conv-GRU Network based on transformer for assessment of patient physical rehabilitation](https://mlsanity.com/paper/2401.06150/) (2023)

## Abstract (arXiv)

Pain management and severity detection are crucial for effective treatment, yet traditional self-reporting methods are subjective and may be unsuitable for non-verbal individuals (people with limited speaking skills). To address this limitation, we explore automated pain detection using facial expressions. Our study leverages deep learning techniques to improve pain assessment by analyzing facial images from the Pain Emotion Faces Database (PEMF). We propose two novel approaches1: (1) a hybrid ConvNeXt model combined with Long Short-Term Memory (LSTM) blocks to analyze video frames and predict pain presence, and (2) a Spatio-Temporal Graph Convolution Network (STGCN) integrated with LSTM to process landmarks from facial images for pain detection. Our work represents the first use of the PEMF dataset for binary pain classification and demonstrates the effectiveness of these models through extensive experimentation. The results highlight the potential of combining spatial and temporal features for enhanced pain detection, offering a promising advancement in objective pain assessment methodologies.