Lightweight Adaptation of EEG Foundation Models for Stroke Motor Imagery Decoding: Domain Shift and Subject-Level Robustness

Electroencephalography (EEG) decoding for brain-computer interfaces (BCIs) faces a major challenge: substantial inter-subject variability limits effective cross-subject generalization. Consequently, practical systems still rely largely on subject-specific models trained from scratch and requiring individual recalibration. EEG foundation models have recently emerged as a promising alternative; however, even large pretrained models cannot simply be used as fixed feature extractors and still require additional adaptation before they can be reliably applied to downstream tasks. In this work, we address this challenge through targeted adaptation strategies. Building on recent EEG foundation models such as REVE, LaBraM, and LUNA, we examine the impact of different low-rank adaptation strategies on motor imagery classification. We propose a framework that structurally decouples subject-invariant knowledge from subject-specific neural signatures: the low-rank update at each adapted layer is split into a Global adapter, trained jointly across all subjects, and Subject-Specific adapters, each absorbing individual variability. To assess the contribution of each path, we compare three adaptation strategies: (i) subject-specific LoRA (ii) global LoRA and (iii) stacked LoRA, combining both Global and Subject Specific adapters. Experiments on BCI Competition IV-2a, PhysioNet Motor Imagery, and the clinical Zuo2025 benchmark show that Stacked LoRA effectively mitigates inter-subject variability, achieving the best accuracy in the large majority of backbone and dataset combinations. Our analysis further reveals that the optimal balance between the global and subject-specific paths depends on the target population: a shared adapter is sufficient for large, diverse cohorts, whereas subject-specific adaptation is decisive under the high inter-session variability of clinical recordings.

Stroke patient cross-subject electroencephalography (EEG) decoding of motor imagery (MI) brain-computer interface (BCI) is essential for motor rehabilitation, yet lesion-related abnormal temporal dynamics and pronounced inter-patient heterogeneity often undermine generalization. Existing adaptation methods are easily misled by pathological slow-wave activity and unstable target-domain pseudo-labels. To address this challenge, we propose PA-TCNet, a pathology-aware temporal calibration framework with physiology-guided target refinement for stroke motor imagery decoding. PA-TCNet integrates two coordinated components. The Pathology-aware Rhythmic State Mamba (PRSM) module decomposes EEG spatiotemporal features into slowly varying rhythmic context and fast transient perturbations, injecting the fused pathological context into selective state propagation to more effectively capture abnormal temporal dynamics. The Physiology-Guided Target Calibration (PGTC) module constructs source-domain sensorimotor region-of-interest templates, imposing physiological consistency constraints and dynamically refining target-domain pseudo-labels, thereby improving adaptation reliability. Leave-one-subject-out experiments on two independent stroke EEG datasets, XW-Stroke and 2019-Stroke, yielded mean accuracies of 66.56% and 72.75%, respectively, outperforming state-of-the-art baselines. These results indicate that jointly modeling pathological temporal dynamics and physiology-constrained pseudo-supervision can provide more robust cross-subject initialization for personalized post-stroke MI-BCI rehabilitation. The implemented code is available at https://github.com/wxk1224/PA-TCNet.

Motor imagery electroencephalography (MI-EEG) decoding offers a non-invasive route for post-stroke rehabilitation, but cross-patient use remains difficult because pathological neural reorganization changes task-related EEG dynamics, aperiodic activity, local excitability, cross-regional coordination, and trial-level brain-state context. This makes source-learned MI representations unreliable for unseen patients. To address this problem, we propose CFSPMNet, a cross-patient adaptation framework that models post-stroke MI-EEG as latent neural-state organization. CFSPMNet combines a Fourier-Reorganized State Mamba Network (FRSM) with Shared-Private Prototype Matching (SPPM). FRSM represents each trial as a latent physiological token sequence, reorganizes token states in the Fourier domain, and uses Fourier-derived trial context to guide Mamba state-space propagation. SPPM improves target pseudo-label updating by combining semantic confidence with shared-private physiological consistency, filtering confident but physiologically inconsistent target predictions. Leave-one-subject-out experiments on two stroke MI-EEG datasets show that CFSPMNet outperforms representative CNN-, Transformer-, Mamba-, and adaptation-based baselines, achieving average accuracies of 68.23% on XW-Stroke and 73.33% on 2019-Stroke, with gains of 5.63 and 8.25 percentage points over the strongest competitors. Ablation, sensitivity, feature-alignment, pseudo-label selection, and neurophysiological visualization analyses further support the roles of Fourier-domain token-state reorganization and calibrated pseudo-label updating. These results suggest that latent neural-state modeling can improve rehabilitation-oriented cross-patient BCI decoding. Code is available at https://github.com/wxk1224/CFSPMNet.