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Brain Exercising Games With Consumer-Grade Single-Channel Electroencephalogram Neurofeedback: Pre-Post Intervention
Pasin Israsena1, Suwicha Jirayucharoensak1, Solaphat Hemrungrojn2,3
1National Electronics and Computer Technology Center, National Science and Technology Development Agency, Pathumthani, Thailand.
JMIR Serious Games
|June 15, 2021
Summary
Neurofeedback brain training games show promise for improving cognitive function in older adults. This accessible approach, using low-cost EEG, enhanced visual memory, attention, and recognition, suggesting potential for home-based cognitive enhancement.
Area of Science:
- Gerontology
- Neuroscience
- Cognitive Psychology
Background:
- The global aging population presents challenges, including increased age-related illnesses like dementia.
- Preventive care strategies are crucial for managing cognitive decline in the elderly.
- Developing accessible and scalable cognitive enhancement tools is a priority.
Purpose of the Study:
- To evaluate the efficacy of neurofeedback-based brain training games for improving cognitive performance in the elderly.
- To assess the feasibility of using low-cost, single-channel electroencephalogram (EEG) headsets for scalable cognitive training.
- To explore the potential for home-based adoption of these brain training games.
Main Methods:
- A neurofeedback system with five brain exercise games was implemented in five Thai hospitals.
- Participants underwent cognitive screening (Thai Mental State Examination, Montreal Cognitive Assessment) and detailed assessment (CANTAB, 16-channel EEG).
- Cognitive performance and EEG data were compared before and after 20 training sessions.
Main Results:
- Significant improvements were observed in visual memory (delayed matching to sample), attention (median latency), and visual recognition (spatial working memory).
- Electroencephalogram (EEG) data indicated enhanced upper alpha activity in the occipital area during a resting state, correlating with improved attention.
- Thirty-five participants completed the training, demonstrating positive outcomes.
Conclusions:
- Practical neurofeedback-based training games show potential for enhancing cognitive performance in the elderly.
- The use of low-cost EEG technology supports the scalability and accessibility of cognitive training interventions.
- These findings suggest a viable approach for home-based brain exercise to support cognitive health in aging populations.

