Neurofeedback (NF) technology based on electroencephalogram (EEG) data or functional magnetic resonance imaging (fMRI) has been widely studied and applied. In contrast, functional near infrared spectroscopy (fNIRS) has become a new technique in NF research in recent years. fNIRS is a neuroimaging technology based on hemodynamics, which has the advantages of low cost, good portability and high spatial resolution, and is more suitable for use in natural environments. At present, there is a lack of comprehensive review on fNIRS-NF technology (fNIRS-NF) in China. In order to provide a reference for the research of fNIRS-NF technology, this paper first describes the principle, key technologies and applications of fNIRS-NF, and focuses on the application of fNIRS-NF. Finally, the future development trend of fNIRS-NF is prospected and summarized. In conclusion, this paper summarizes fNIRS-NF technology and its application, and concludes that fNIRS-NF technology has potential practicability in neurological diseases and related fields. fNIRS can be used as a good method for NF training. This paper is expected to provide reference information for the development of fNIRS-NF technology.
Neurofeedback transforms real-time brain activity features into multimodal feedback to guide self-regulation of brain function, showing potential applications in neuropsychiatric treatment and cognitive enhancement. However, its use entails ethical risks including cognitive autonomy, personal identity integrity, safety and efficacy, privacy protection, and the safeguarding of vulnerable populations, with informed consent challenges being particularly pronounced in implicit neurofeedback. Based on these risks, this paper proposes establishing an ethical evaluation framework for neurofeedback, promoting ethics-embedded design, and strengthening international cooperation and public education, emphasizing responsible innovation to align technological development with ethical safeguards.