Here are my suggestions:
If you don't know/understand what the extension can do, don't install it.
If you want to experiment with those more advanced features, create a test forum with the same server hardware, populate it with either a copy of your production database (make sure to disable all outbound email!) or fake test data, then run tests with each combination of settings you're interested in.
Luceos described why you might want to use one feature or the other pretty well above.
The extensions themselves are very easy to configure, as far as I know all you need is to fill in the redis server config and choose which features to enable. If you encounter errors or something doesn't work as expected, please share the steps you took and describe what happens.