# Not Only Consistency: Enhance Test-Time Adaptation with Spatio-temporal Inconsistency for Remote Physiological Measurement

arXiv: https://arxiv.org/abs/2507.07908 · HTML: https://mlsanity.com/paper/2507.07908/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 40 of its 82 references that are in the map.
- First posted on arXiv 10 Jul 2025.

## Builds on (most cited first, 30 of 40)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Unsupervised Domain Adaptation by Backpropagation](https://mlsanity.com/paper/1409.7495/) (2014)
- [Sharpness-Aware Minimization for Efficiently Improving Generalization](https://mlsanity.com/paper/2010.01412/) (2020)
- [Gradient Surgery for Multi-Task Learning](https://mlsanity.com/paper/2001.06782/) (2020)
- [Out-of-Distribution Generalization via Risk Extrapolation (REx)](https://mlsanity.com/paper/2003.00688/) (2020)
- [Efficient Test-Time Model Adaptation without Forgetting](https://mlsanity.com/paper/2204.02610/) (2022)
- [Improving robustness against common corruptions by covariate shift adaptation](https://mlsanity.com/paper/2006.16971/) (2020)
- [Towards Stable Test-Time Adaptation in Dynamic Wild World](https://mlsanity.com/paper/2302.12400/) (2023)
- [Return of Frustratingly Easy Domain Adaptation](https://mlsanity.com/paper/1511.05547/) (2015)
- [Evaluating Prediction-Time Batch Normalization for Robustness under Covariate Shift](https://mlsanity.com/paper/2006.10963/) (2020)
- [Source Data-absent Unsupervised Domain Adaptation through Hypothesis Transfer and Labeling Transfer](https://mlsanity.com/paper/2012.07297/) (2020)
- [DeepPhys: Video-Based Physiological Measurement Using Convolutional Attention Networks](https://mlsanity.com/paper/1805.07888/) (2018)
- [Multi-Task Temporal Shift Attention Networks for On-Device Contactless Vitals Measurement](https://mlsanity.com/paper/2006.03790/) (2020)
- [Learning explanations that are hard to vary](https://mlsanity.com/paper/2009.00329/) (2020)
- [Meta-Transfer Learning for Zero-Shot Super-Resolution](https://mlsanity.com/paper/2002.12213/) (2020)
- [Entropy is not Enough for Test-Time Adaptation: From the Perspective of Disentangled Factors](https://mlsanity.com/paper/2403.07366/) (2024)
- [RhythmNet: End-to-end Heart Rate Estimation from Face via Spatial-temporal Representation](https://mlsanity.com/paper/1910.11515/) (2019)
- [Video-based Remote Physiological Measurement via Cross-verified Feature Disentangling](https://mlsanity.com/paper/2007.08213/) (2020)
- [DELTA: degradation-free fully test-time adaptation](https://mlsanity.com/paper/2301.13018/) (2023)
- [PulseGAN: Learning to generate realistic pulse waveforms in remote photoplethysmography](https://mlsanity.com/paper/2006.02699/) (2020)
- [Meta-rPPG: Remote Heart Rate Estimation Using a Transductive Meta-Learner](https://mlsanity.com/paper/2007.06786/) (2020)
- [Contrast-Phys: Unsupervised Video-based Remote Physiological Measurement via Spatiotemporal Contrast](https://mlsanity.com/paper/2208.04378/) (2022)
- [PhysFormer++: Facial Video-based Physiological Measurement with SlowFast Temporal Difference Transformer](https://mlsanity.com/paper/2302.03548/) (2023)
- [rPPG-MAE: Self-supervised Pre-training with Masked Autoencoders for Remote Physiological Measurement](https://mlsanity.com/paper/2306.02301/) (2023)
- [Inference Stage Optimization for Cross-scenario 3D Human Pose Estimation](https://mlsanity.com/paper/2007.02054/) (2020)
- [Test-Time Personalization with a Transformer for Human Pose Estimation](https://mlsanity.com/paper/2107.02133/) (2021)
- [Neuron Structure Modeling for Generalizable Remote Physiological Measurement](https://mlsanity.com/paper/2303.05955/) (2023)
- [GPT as Psychologist? Preliminary Evaluations for GPT-4V on Visual Affective Computing](https://mlsanity.com/paper/2403.05916/) (2024)
- [Continual BatchNorm Adaptation (CBNA) for Semantic Segmentation](https://mlsanity.com/paper/2203.01074/) (2022)
- [PhysMLE: Generalizable and Priors-Inclusive Multi-task Remote Physiological Measurement](https://mlsanity.com/paper/2405.06201/) (2024)

## Built on by (most cited first, 3 of 3)

- [PhysDrive: A Multimodal Remote Physiological Measurement Dataset for In-vehicle Driver Monitoring](https://mlsanity.com/paper/2507.19172/) (2025)
- [FedHUG: Federated Heterogeneous Unsupervised Generalization for Remote Physiological Measurements](https://mlsanity.com/paper/2510.12132/) (2025)
- [Why Do VLMs Fail at Remote Physiological Measurement? Rethinking with Physiological Grounding and Numerical Alignment](https://mlsanity.com/paper/2610.19052/) (2026)

## Abstract (arXiv)

Remote physiological measurement (RPM) has emerged as a promising non-invasive method for monitoring physiological signals using the non-contact device. Although various domain adaptation and generalization methods were proposed to promote the adaptability of deep-based RPM models in unseen deployment environments, considerations in aspects such as privacy concerns and real-time adaptation restrict their application in real-world deployment. Thus, we aim to propose a novel fully Test-Time Adaptation (TTA) strategy tailored for RPM tasks in this work. Specifically, based on prior knowledge in physiology and our observations, we noticed not only there is spatio-temporal consistency in the frequency domain of BVP signals, but also that inconsistency in the time domain was significant. Given this, by leveraging both consistency and inconsistency priors, we introduce an innovative expert knowledge-based self-supervised Consistency-inConsistency-integration (CiCi) framework to enhances model adaptation during inference. Besides, our approach further incorporates a gradient dynamic control mechanism to mitigate potential conflicts between priors, ensuring stable adaptation across instances. Through extensive experiments on five diverse datasets under the TTA protocol, our method consistently outperforms existing techniques, presenting state-of-the-art performance in real-time self-supervised adaptation without accessing source data. The code will be released later.
