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one implemented both dual-task and multitask paradigms.    Both studies that reported better cognitive performance under
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              Only three of the studies subjected participants to perform all   multitask did not implement a motor task in the testing para-
              tasks under a single-task paradigm 41,44,45  while the remainder   digm. 41,44  Of the seven studies that reported poorer cognitive
              of the studies did not have participants perform all tasks under   performance under multitask, one also reported poorer motor
              a single-task paradigm. 3,17,18,39,40,42,43,46–49  Multitask paradigms   performance,  one reported no difference in motor perfor-
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              consisted of either all cognitive tasks 41,43,44  or a combination of   mance.
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              motor and cognitive tasks. 17,18,39,40,42,45–49
                                                                 Discussion
              Motor Tasks
              A variety of motor tasks were completed under multitask par-  The articles included in this review highlight the great strides
              adigms within the studies selected for this review. 3,17,18,39,42,45–49    already made in exploring how tactical athletes perform un-
              Shooting or weapon engagement tasks 3,17,18,39,45,46,48  and walk-  der multitask paradigms with both motor and cognitive as-
              ing 40,47  were the most common motor tasks. Two studies   sessments. Although these studies have provided substantial
              implemented  postural  control  or  balance  tasks 39,47   in  their   information  on movement  as  well as  cognitive  processing
              multitask assessment. Visual tracking of an object (i.e., visuo-  abilities for tactical athletes, multitask paradigms for this pop-
              motor task) 41,43  and a single-leg cut maneuver 42,49  were also   ulation warrant  further  investigation.  Multitask paradigms
              included in the review.                            implemented in these studies have shown inconsistent reports
                                                                 of performance differences between single-task and multi-
              Cognitive Tasks                                    task assessments, likely due to the wide range of motor and
              The most common cognitive assessments implemented in a   cognitive assessments used or organization of the multitask
              multitask paradigm were performance of arithmetic prob-  paradigm. These findings do not support the hypothesis that
              lems 3,17,18,41,45,46,49  and decision-making tasks. 3,17,39–42,44–46,48,49    there are consistent differences in cognitive performance under
              More specifically, decision-making performance was assessed   multitask paradigms where some studies reported no change
              via responding to a stimuli (auditory, 41,48  light, 42,49  and visual )   in cognitive performance. 39,44,46  Motor performance, however,
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              or responding to a go-no go stimuli (i.e., shoot-no shoot or   varied under multitask paradigms which supports the second
              friend-foe  scenario). 3,17,39,40,45,46   Four  of  the  included  studies   hypothesis. It is worth noting that it is important to investigate
              utilized  a memorization  task to  quantify  cognitive  perfor-  a variety of tasks over several multitask paradigms to gauge a
              mance. 3,41,44,47  Only Bermejo et al.  used reaction time as a   comprehensive understanding of the interaction between task
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              measure of cognitive performance under a multitask paradigm.  complexity and assessment. This provides a foundation on
                                                                 which to build and refine multitask assessment depending on
              Single-Task vs. Multitask—Motor Performance        tactical athlete status, operational duties, or injury.
              Motor performance differences between single-task and multi-
              task paradigms varied across the studies included in this   Despite the range of motor and cognitive tasks included in
              review (Table 3). Compared with single-task, two studies re-  the review, more operationally relevant motor tasks, such as
              ported better motor performance under multitask, 39,49  six re-  walking while maintaining weapon aim and load carriage
              ported poorer motor performance under multitask, 40,42,43,47–49    (e.g., walking, buddy drag, etc.), should be included in these
              and three reported no difference in motor performance under   assessments to mimic the operational environment and occu-
              multitask. 42,46,48  Four studies did not report motor task per-  pational demands of tactical athletes. Cognitive assessments
              formance 3,17,18,45  and two did not include a motor task in the   spanned a wide spectrum of cognitive processing abilities that
              testing paradigm. 41,44                            seemed to reflect operationally relevant tasks, such as decision-
                                                                 making, friend or foe target discrimination, and reaction time.
              Of the two studies that reported better motor performance un-  Although some of the tasks utilized in the review mimicked
              der multitask, one reported no difference in cognitive perfor-  operational environments, many of the tasks were those that
              mance  while the other did not report cognitive performance.    are regularly performed by nontactical athletes (e.g., walking,
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              Five of the six studies that reported poorer motor performance   static balance, reaction time, etc.). While these provide funda-
              under multitask compared with single-task did not report cog-  mental performance characteristics of tactical athletes, further
              nitive performance. 40,42,43,48,49  One study that reported poorer   research should be conducted to determine or gauge perfor-
              motor performance under multitask also reported poorer   mance of tactical athletes against nontactical athletes. Ideally,
              cognitive performance under multitask.  Three reported no   tactical athletes should be more accurate in target engagement
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              difference in motor performance under multitask, 42,46,48  where   tasks and be able to carry heavier masses for longer durations
              two of these studies did not report cognitive performance. 42,48    than nontactical athletes or civilians. But, to quantify the de-
              The third study reported both decrements and no difference in   gree of performance differences, these groups must complete
              cognitive performance under multitask. 46          the same tasks under the same conditions to set standards of
                                                                 performance relative to other tactical athletes.
              Single-Task vs. Multitask—Cognitive Performance
              Similar to motor tasks, cognitive performance differences be-  Raisbeck  et  al.   was  the  only  study  included  in  the  review
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              tween single-task and multitask paradigms varied across the   that used law enforcement personnel while all other studies
              included studies (Table 3). Compared with single-task, two   used military personnel, including cadets, 41,43  veterans, 44,47  and
              studies reported better cognitive performance under multi-  soldiers. 3,17,18,39,45,46  Although there are some similarities in
              task, 41,44  seven studies reported poorer cognitive performance   occupational demands between military and civilian tactical
              under multitask, 3,17,18,41,44,46,47  and three studies reported no   athletes, this review has highlighted a lack of research on law
              difference in cognitive performance under multitask. 39,44,46  Six   enforcement motor and cognitive performance under multi-
              studies implemented a cognitive task in the testing paradigm   task paradigms. Fundamental demands of tactical athletes,
              but did not report cognitive performance. 40,42,43,45,48,49  such as static shooting, load carriage, and reaction time, may

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