A Machine Learning Framework for EEG-Based Prediction of Treatment Efficacy in Chronic Neck Pain

Fuente: arXiv
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Auteurs principaux: Wang, Xiru, Li, Aiden, Tan, Hongzhao, Foglia, Stevie, Nelson, Aimee, Gao, Zhen
Format: Preprint
Publié: 2026
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author Wang, Xiru
Li, Aiden
Tan, Hongzhao
Foglia, Stevie
Nelson, Aimee
Gao, Zhen
author_facet Wang, Xiru
Li, Aiden
Tan, Hongzhao
Foglia, Stevie
Nelson, Aimee
Gao, Zhen
contents Chronic neck pain is a leading cause of disability worldwide, and current treatment selection remains largely trial and error. We present a machine learning framework that uses electroencephalography to predict treatment efficacy in patients with chronic neck pain, with the goal of supporting individualized therapy and reducing the burden on healthcare systems. The framework centers on a rigorous data preprocessing stage tailored to the characteristics of each EEG recording type. For resting-state EEG, the preprocessing pipeline comprises baseline signal removal, bad channel identification and exclusion, re-referencing, bandpass and notch filtering, Independent Component Analysis, and power spectral density analysis. For motor execution and motor imagery recordings, the same initial steps are applied, after which signals are aligned to trigger events so that event-related desynchronization (ERD) and event-related synchronization (ERS) can be quantified. Synchronously recorded electromyography data are bandpass filtered and smoothed with a moving average, then correlated with the corresponding EEG channels to characterize the EEG EMG relationship during attempted movement. In parallel, we performed an extensive literature review of machine learning models applied to clinical EEG (763 records initially screened, 16 patient and 47 healthy-control studies retained), to inform the post-processing strategy. Through this combined preprocessing and review effort, we aim to develop a robust predictive model that can support personalized healthcare strategies in chronic pain management.
format Preprint
id arxiv_https___arxiv_org_abs_2605_16326
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle A Machine Learning Framework for EEG-Based Prediction of Treatment Efficacy in Chronic Neck Pain
Wang, Xiru
Li, Aiden
Tan, Hongzhao
Foglia, Stevie
Nelson, Aimee
Gao, Zhen
Quantitative Methods
Artificial Intelligence
Machine Learning
Signal Processing
Chronic neck pain is a leading cause of disability worldwide, and current treatment selection remains largely trial and error. We present a machine learning framework that uses electroencephalography to predict treatment efficacy in patients with chronic neck pain, with the goal of supporting individualized therapy and reducing the burden on healthcare systems. The framework centers on a rigorous data preprocessing stage tailored to the characteristics of each EEG recording type. For resting-state EEG, the preprocessing pipeline comprises baseline signal removal, bad channel identification and exclusion, re-referencing, bandpass and notch filtering, Independent Component Analysis, and power spectral density analysis. For motor execution and motor imagery recordings, the same initial steps are applied, after which signals are aligned to trigger events so that event-related desynchronization (ERD) and event-related synchronization (ERS) can be quantified. Synchronously recorded electromyography data are bandpass filtered and smoothed with a moving average, then correlated with the corresponding EEG channels to characterize the EEG EMG relationship during attempted movement. In parallel, we performed an extensive literature review of machine learning models applied to clinical EEG (763 records initially screened, 16 patient and 47 healthy-control studies retained), to inform the post-processing strategy. Through this combined preprocessing and review effort, we aim to develop a robust predictive model that can support personalized healthcare strategies in chronic pain management.
title A Machine Learning Framework for EEG-Based Prediction of Treatment Efficacy in Chronic Neck Pain
topic Quantitative Methods
Artificial Intelligence
Machine Learning
Signal Processing
url https://arxiv.org/abs/2605.16326