remote patient monitoring teams

Abstract: Remote photoplethysmography (rPPG) enables non-contact physiological measurement but remains vulnerable to domain shifts from illumination, motion, and sensors. We propose \textbf{FLOW (Feature-Level Optimal Warping)}, an \emph{optimal transport--driven} framework for domain-generalized rPPG. FLOW integrates a \textbf{Temporal Refinement Module (TRM)} to stabilize temporal dynamics and a \textbf{Prototype-based Cross-Temporal Optimal Transport (PCOT)} module to achieve domain-invariant alignment via learnable prototypes.Beyond feature alignment, FLOW employs soft cross-temporal correspondence modeling that aligns temporal features in a flexible manner, allowing the model to respect and preserve the intrinsic rhythmic patterns of physiological signals. Moreover, the lightweight design of our modules allows seamless integration into existing end-to-end rPPG architectures without additional preprocessing. Two regularization terms further enforce source consistency and identity preservation. Theoretically, we derive a generalization bound under conditional optimal transport. Extensive experiments across four rPPG benchmarks show that FLOW achieves state-of-the-art cross-domain performance with lightweight design and strong physiological fidelity.