RECAST: Recent & Context-Aware Sampling for Test-Time Adaptation in Streaming Biosignals

Test-time adaptation (TTA) enables neural forecasters to adapt to distribution shifts in streaming time series, but existing methods apply the same adaptation intensity regardless of the nature of the shift. We propose Regime-Guided Test-Time Adaptation (RG-TTA), a meta-controller that continuously modulates adaptation intensity based on distributional similarity to previously-seen regimes. Using an ensemble of Kolmogorov-Smirnov, Wasserstein-1, feature-distance, and variance-ratio metrics, RG-TTA computes a similarity score for each incoming batch and uses it to (i) smoothly scale the learning rate -- more aggressive for novel distributions, conservative for familiar ones -- and (ii) control gradient effort via loss-driven early stopping rather than fixed budgets, allowing the system to allocate exactly the effort each batch requires. As a supplementary mechanism, RG-TTA gates checkpoint reuse from a regime memory, loading stored specialist models only when they demonstrably outperform the current model (loss improvement >= 30%). RG-TTA is model-agnostic and strategy-composable: it wraps any forecaster exposing train/predict/save/load interfaces and enhances any gradient-based TTA method. We demonstrate three compositions -- RG-TTA, RG-EWC, and RG-DynaTTA -- and evaluate 6 update policies (3 baselines + 3 regime-guided variants) across 4 compact architectures (GRU, iTransformer, PatchTST, DLinear), 14 datasets (6 real-world multivariate benchmarks + 8 synthetic regime scenarios), and 4 forecast horizons (96, 192, 336, 720) under a streaming evaluation protocol with 3 random seeds (672 experiments total). Regime-guided policies achieve the lowest MSE in 156 of 224 seed-averaged experiments (69.6%), with RG-EWC winning 30.4% and RG-TTA winning 29.0%. Overall, RG-TTA reduces MSE by 5.7% vs TTA while running 5.5% faster; RG-EWC reduces MSE by 14.1% vs standalone EWC.

Wearable human activity recognition (WHAR) models often suffer from performance degradation under real-world cross-user distribution shifts. Test-time adaptation (TTA) mitigates this degradation by adapting models online using unlabeled test streams, yet existing methods largely inherit assumptions from vision tasks and underexploit the inherent inter-window temporal structure in WHAR streams. In this paper, we revisit such temporal structure as a feature-conditioned inference signal rather than merely an output-space smoothing prior. We derive the insight that temporal continuity and observation-induced feature deviations provide complementary cues for determining when to preserve or release temporal inertia and where to route prediction refinement during likely transitions. Building upon this insight, we propose SIGHT, a lightweight and backpropagation-free TTA framework for WHAR, enabling real-time edge deployment. SIGHT estimates predictive surprise by comparing the current feature with a prototype-based expected state, and then uses the resulting feature deviation to guide geometry-aware transition routing based on prototype alignment and stream-level marginal habit tracking. Evaluations on real-world datasets confirm that SIGHT outperforms existing TTA baselines while reducing computational and memory costs.

Medical time series (MedTS) signals such as electroencephalography (EEG) and electrocardiography (ECG) support many clinical applications. However, substantial subject-level heterogeneity often induces subject-level distribution shift, causing a fixed parameter set to generalize poorly to unseen individuals. Compared with domain adaptation methods that often depend on extra adaptation components or target-batch statistics, Test-Time Training (TTT) provides a more practical solution for sequential clinical data by enabling online adaptation from unlabeled test samples. However, many representative TTT methods require iterative inner-loop optimization, increasing test-time overhead. In this paper, we propose MedTS-TTT, a test-time training framework for medical time series modeling. MedTS-TTT is built upon Closed-Loop Self-Alignment Test-Time Training (CLSA-TTT) and a Gated Convolutional Backbone (GCB). CLSA-TTT constructs a token-level self-supervised target and performs a single-step fast-weight update for intra-layer closed-loop alignment, enabling rapid sample-wise adaptation without iterative inner-loop optimization. GCB combines CLSA-TTT-based fast adaptation and token-level fusion with a gated convolutional branch to balance local dynamic modeling and information-flow control. On 4 public datasets (2 EEG and 2 ECG) with subject-independent splits, MedTS-TTT achieves 11 top-1 rankings out of 12 evaluations across 9 baselines and 3 metrics. The code is publicly available at https://github.com/mingzhi-c/MedTS-TTT.