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Performance-based Differences in Prefrontal Cortex Activation

                                   Assessing Dynamic Marksmanship Performance
                                     Using Functional Near-Infrared Spectroscopy



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                   Owen F. Salmon, MS *; Thomas X. Statz ; Cierra B. Ugale, MS ; Matthew D. Segovia, MS ;
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                  Joshua R. Thompson, BS ; Hunter D. Dobbs, BS ; Rachel M. Rauth, BS ; Cory M. Smith, PhD   8


              ABSTRACT
              Introduction: Marksmanship is a fundamental skill for all   essential for proficient performance in dynamic marksmanship
              servicemembers. However, the underlying neurophysiolog-  scenarios.
              ical differences in performance among marksmen remain
              unclear. Incorporating neurophysiological tracking such as   The combined physical and psychological stress associated
              functional near-infrared spectroscopy (fNIRS) may identify   with real-world operations has been shown to result in per-
              performance-based differences in prefrontal cortex (PFC) ac-  ceptual distortions, tunnel vision, reduced fine motor skills,
              tivation during dynamic marksmanship scenarios. This study   and loss of situational awareness.  We hypothesize that the
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              examined cognitive load within the PFC during a simulated   impaired marksmanship performance may be caused by exces-
              dynamic marksmanship scenario in non-proficient and profi-  sive strain on cognitive resources, leading to heightened PFC
              cient marksmen. Methods: Twenty-four participants (12 men,   activation as the servicemember is overwhelmed by competing
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              12 women) wore an fNIRS device over their forehead during   cognitive inputs, ultimately resulting in poor performance.
              a simulated stationary pistol marksmanship task (to determine   For example, Johnson and colleagues reported that 72% of the
              proficiency status) and a dynamic shoot/no-shoot course of   performance variability in proficient marksmen was accounted
              fire (COF) (to assess cognitive load). Relative concentrations   for by the activation over the frontal lobe, while only 37% of
              of oxyhemoglobin (HbO ), deoxygenated hemoglobin (deoxy-  performance variability was accounted for in non-proficient
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              genated Hb), and total hemoglobin (total Hb) were tracked to   marksman  during  a  lethal  force  judgment  exercise.   Thus,
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              quantify PFC activation differences in twelve proficient (≥80%   quantifying the degree of cognitive load during operational
              hit percentage) and twelve non-proficient (<80% hit percent-  tasks, such as marksmanship and lethal force decision-making,
              age) marksmen. Results: No difference in completion time was   remains critical, highlighting the need for knowledge prod-
              observed between groups during the dynamic COF (p=.34).   ucts that can rapidly improve the operational performance of
              However, non-proficient  marksmen  showed  26.3% higher   non-proficient servicemembers.
              HbO  (p=.02) and 42.1% higher total Hb (p<.01) in the PFC
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              compared to proficient marksmen. Conclusion: Tracking PFC   Despite its importance, proficiency in marksmanship during
              hemodynamic activity identified proficiency-based differences   qualification courses generally consists of static assessments,
              in cognitive load during a dynamic COF.  Applying fNIRS   where individuals have the foreknowledge of the drills, tar-
              during marksmanship-related tasks may be useful in develop-  gets, and distances they will be firing upon before being
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              ing stress resilience and mission readiness for servicemembers.  evaluated.   While this standardized approach is useful for
                                                                 categorizing general proficiency levels in weapon handling, its
              Keywords: marksmanship; functional near-infrared   translation to real-world dynamic lethal force scenarios may
              spectroscopy; cerebral hemodynamics; motor skills;   be limited. 12–14  To better quantify mission readiness in terms
              psychomotor performance; task performance and      of marksmanship ability, it is essential to look beyond perfor-
              analysis; military                                 mance outcome metrics, such as hit percentage, and look into
                                                                 the cognitive load associated with marksmanship tasks. 15–17

                                                                 Functional near-infrared spectroscopy (fNIRS) is a portable,
              Introduction
                                                                 non-invasive neuroimaging technique that quantifies relative
              Marksmanship is a critical sensorimotor skill required for all   changes in oxygenated hemoglobin (HbO ) and deoxygenated
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              active duty servicemembers regardless of their military occupa-  hemoglobin (Hb) to infer neural activation in brain regions
              tional specialty. Under dynamic marksmanship environments,   associated with cognitive and motor tasks. 18–20  Recently, fNIRS
              optimizing marksmanship performance requires complex cog-  has been applied to the prefrontal cortex (PFC) to identify dif-
              nitive processes that are heavily influenced by the prefrontal   ferences in hemodynamic activity during cognitive and dex-
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              cortex (PFC).  The PFC plays a crucial role in executive func-  terity tasks based on proficiency levels. 21–24  It is effective for
              tion, adaptive behavior, and higher-order cognitive processes   tracking PFC activity, such as executive function, inhibitory
              *Correspondence to owen_salmon1@baylor.edu
              1 Owen F. Salmon,  Thomas X. Statz,  Cierra B. Ugale,  Matthew D. Segovia,  Joshua R. Thompson,  Hunter D. Dobbs,  Rachel M. Rauth, and
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              8 Dr. Cory M. Smith are affiliated with Robbins College of Health and Human Sciences, Human & Environmental Physiology Laboratory, De-
              partment of Health, Human Performance and Recreation, Baylor University, Waco, TX.
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