Rhythm Video Games and Their Cognitive Impact: A Systematic Review Following PRISMA Guidelines

Abstract

This systematic review explores the cognitive, emotional, and physiological impacts of rhythm-based video games, following the PRISMA methodology. Fourteen empirical studies published between 2015 and 2025 were analyzed, revealing consistent improvements in attention, working memory, executive functions, reading fluency, and emotional regulation. These effects appear mediated by temporal synchronization and sensorimotor coupling mechanisms that enhance neural efficiency and emotional balance. Evidence from neuroimaging studies indicates that rhythmic training promotes neuroplasticity, particularly in regions related to timing and coordination. Additionally, rhythm video games foster positive effects, reduce anxiety and depression, and improve quality of life, supporting their potential as therapeutic and educational tools. Despite methodological limitations, such as small samples and heterogeneous designs, the convergence of results highlights the promise of rhythm games as complementary interventions in cognitive neuroscience, rehabilitation, and mental health.