Do Brain-Training Games Really Prevent Alzheimer’s?

In January 2016, Luminosity was forced to pay $2 million dollars after being sued for false advertising. Ads for the popular “brain-training” game suggested that the mental exercises could improve cognition and even reduce the effects of dementia. However, these claims have not stood up to scientific examination. In this article I’ll break down the science of neuroplasticity that brain-training games are based on, review the evidence of their inefficacy, and finally provide a few scientifically valid alternatives to brain games.

The Plastic Brain

What exactly is the “science of neuroplasticity” that ads for Lumunosity and other brain-training games keep talking about? In this context, plastic means changeable. Thus, the field of neuroplasticity examines the ways our brains can change over time. For much of the history of neuroscience, it was believed that only infants and children had plastic brains. The popular theory was that children’s brains were in a critical period of rapid change that allowed them to quickly learn new things such as language. This critical period was thought to end around the age of five, at which point our brain structure would remain static for the rest of our lives.

However, within the past few decades, evidence has emerged to suggest that the adult brain is also plastic, albeit to a lesser extent than children’s brains. You may have heard stories of blind people who possess a seemingly-superhuman sense of hearing. These are more than just anecdotes. Multiple studies have demonstrated this phenomenon to be true, even when vision loss occurs during adulthood. The brain space that had once been devoted to vision is taken over by the other senses. Similarly, many adults are able to partially recover from neurological injuries such as a stroke or traumatic brain injury by utilizing their brains’ capacity for change, creating new neural connections to make up for those that were damaged.

A simple dogma has emerged from studies of adult neuroplasticity: “neurons that fire together, wire together.” This basically means that the more a particular neural circuit is activated, the stronger the connections between those neurons become. It’s kind of as if your brain were a muscle, and activating neural pathways were like a “workout” for your brain. This is a bit of an oversimplification, but it illustrates the fact that we tend to become better at cognitive tasks the more we practice them. These improvements correspond to physical changes that occur inside our brains, just like a muscle growing larger and stronger.

This is the basis for brain-training games like Luminosity. Based on what we currently know about neuroplasticity, it makes sense that playing games that involve memory, logic, or problem-solving should improve the relevant neural circuits and result in better cognitive function overall. So then, what’s the problem?

Why Brain-Training Games Don’t Work

Let’s say you’re playing a card-matching game that’s designed to improve memory. Each game is randomly-generated so the cards are never in the same spots each time. The first time you play, it might take you five minutes to complete the puzzle. The next time, you’re a little faster. You play this game every day for a month. By the end of the month, you can complete the task in half your original time. It’s reasonable to think that your memory is now far better compared to when you first played the game.

However, just because you’re better at this particular game doesn’t mean that your overall memory has improved. To date there has been little evidence that playing these games can improve practical memory skills such as remembering where you left your keys or recalling a friend’s phone number. In fact, cognitive improvements due to brain-training games are often very narrow in scope, only applying tasks that are very similar to the game itself. Additionally, while some studies have suggested that these gains are lasting, others report that the effects of brain training dissipate over time. Most importantly, there has been zero evidence to suggest that these games can reduce the risk or symptoms of Alzheimer’s or other dementias.

The problems with brain-training games were highlighted in a consensus report published in 2014. The report was signed by 70 experts in cognitive science, neuroscience, and gerontology. It argued that advertisements promising broad cognitive enhancement by brain-training games were highly exaggerated and lacked solid scientific support.

So, Now What?

You might be thinking: okay, maybe these games aren’t the magic dementia cure they claim to be, but surely there’s no harm in playing them? After all, it’s likely that these games do produce some small improvement to cognitive function, albeit narrow and probably temporary. But if there’s even a small chance of making our brains healthier, shouldn’t we take it?

The question here isn’t whether brain-training games produce any beneficial effects, but whether the beneficial outweigh the opportunity cost. This was a key point of the consensus report that I mentioned earlier:

“Time spent playing the games is time not spent reading, socializing, gardening, exercising, or engaging in many other activities that may benefit cognitive and physical health of older adults.”

So it’s not that brain-training games do nothing for cognition, but that their effects are minuscule compared to other scientifically-validated approaches for reducing the risk of dementia. These include incorporating more fruits and vegetables into your diet, maintaining an active social life, and keeping your mind active through a variety of intellectually stimulating tasks. Check out the Alzheimer’s Association’s brain health website for some great tips on reducing your risk for dementia.

When presented with the choice of improving our brain health through fun activities like socializing with friends, gardening, or learning a new language, compared to doing so through a series of monotonous computer games, to me the choice seems obvious. If you want your brain to be healthier, why not make the process enjoyable too?

 

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2 thoughts on “Do Brain-Training Games Really Prevent Alzheimer’s?

  1. Anonymous

    I found this article particularly interesting, given that I am in the midst of participating in a year long training on Cognitive Enhancement Therapy, based out of Cleveland CET center. This uses both computer brain exercises as well as weekly Social Cognition groups to provide ‘physical therapy’ for the brain in a sense. It’s designed to be used with persons with schizophrenia and other mental health disorders to improve memory, problem solving, social skills and attention. There studies show that this has lasting effects years after the CET classes end. I know that a person with mental illness is very different from Alzheimer’s but curious to see if CET would help some with this. Good article!

    Liked by 1 person

    Reply
    1. AlzScience Post author

      I’m not very familiar with schizophrenia, but I’m sure the mechanisms of the disease differ substantially from Alzheimer’s. Therefore it’s certainly possible that CET could be an effective treatment for schizophrenia or other disorders of that nature. I would assume that the programs used by the Cleveland CET Center are more advanced than games like Luminosity that are designed for the general public, so it might be very helpful for people with schizophrenia.

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