Test-Time Adaptation for EEG Foundation Models: A Systematic Study under Real-World Distribution Shifts

Scaling EEG foundation models requires pooling data across heterogeneous electrode montages, a prerequisite both for larger pretraining corpora and for downstream deployment. We present the first systematic comparison of four channel adaptation methods (Conv1d projection, spherical spline interpolation (SSI), source-space decomposition, and Riemannian re-centering) across five pretrained EEG foundation models (5M--157M parameters), five downstream tasks, and two training regimes with 10--15 random seeds each. We find that rigid-montage models (BENDR, Neuro-GPT) require external adaptation, while flexible models (EEGPT, CBraMod) match or exceed it natively when fine-tuned but benefit from external methods under frozen-encoder deployment. A probe-SFT asymmetry exists: external adaptation can cause severe negative transfer during fine-tuning of flexible models. The optimal method is architecture-dependent (Conv1d for BENDR, SSI/Riemannian for Neuro-GPT, source-space decomposition for depression detection), and 5M-parameter CBraMod outperforms models up to 31$\times$ larger on 4/5 datasets, consistent with independent findings that compact EEG-specific architectures can match larger models.

EEG foundation models have shown strong potential in learning generalized representations across subjects and tasks. However, most existing approaches follow a pretraining-static deployment paradigm, which suffers from two key limitations: (1) misalignment between pretraining objectives and downstream tasks, and (2) limited adaptability to distribution shifts in online settings. We propose Online Neural Adaptation (NeuroOnline), a unified framework that enables continuous adaptation in online scenarios. NeuroOnline integrates two complementary mechanisms: (1) multi-view consistency learning, which enforces cross-view alignment to promote consistent and task-relevant representations, and (2) context-aware representation modulation, which leverages a learnable context prompt with cross-attention to dynamically adapt representations to evolving data distributions. Together, these mechanisms unify representation alignment and dynamic adaptation. Experiments on multiple EEG benchmarks show that NeuroOnline consistently outperforms strong baselines in online settings, achieving better performance under distribution shifts. Ablation and sensitivity studies further validate the necessity of each component and the effectiveness of the overall design.

Evaluating foundation models under appropriate adaptation settings is essential for understanding the quality and transferability of the learned representations. Recent EEG foundation models have demonstrated promising transfer capabilities across tasks and datasets, motivating their growing use in neurotechnology and clinical applications. However, these models are typically evaluated under full fine-tuning on well-curated downstream datasets, a setting that does not reflect biomedical domain constraints such as limited labeled data, reduced sensor coverage, or parameter-efficient adaptation. In this work, we propose a multi-dimensional evaluation framework for assessing EEG models under realistic low-resource conditions. Empirical analysis of both supervised EEG models and recent EEG foundation models, including LaBraM, CSBrain, and CBraMod, across 6 different datasets is performed under the proposed multi-dimensional evaluation framework. We find that EEG foundation models consistently provide performance gains on long-context tasks such as sleep stage prediction and mental health state classification. In contrast, for short-window Brain Computer Interface style tasks, supervised models achieve comparable despite having substantially fewer parameters. Additional analyses demonstrate that current foundation models provide limited robustness to short-window tasks and channel constrained settings. Together, these findings motivate the use of multi-dimensional evaluation protocols that characterize model behavior under realistic use constraints.