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Beyond fNIRS-based applications, previous investigations into   outcomes. If cognitive training (e.g., neurostimulation, work-
              brain activity during rifle and pistol marksmanship tasks have   ing memory enhancement) leads to improved accuracy, faster
              used electroencephalography (EEG) to assess neural activity   reaction times and better decision-making, it would suggest a
              based on proficiency level (for a comprehensive review, refer   direct causal link between PFC function and marksmanship
                                    47
              to Martins and colleagues).  Decreased cortical activity has   ability.
              been linked to higher accuracy in stationary pistol marksman-
              ship tasks, 48,49  and higher PFC coherence has been observed   Moving forward, fNIRS has the potential to be a field-ready
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              in proficient rifle shooters.  Additionally, global increases in   physiological tool for real-time biofeedback, enabling the
              theta, beta, and gamma power within the temporal and parietal   identification of performance-based differences in individuals
              regions during the shooting preparation stage (i.e., 6s before   during tasks specific to the military. In the context of the current
              the shot) have been observed in proficient marksmen compared   findings, fNIRS could be integrated into marksmanship train-
              to less proficient marksmen and have been associated with im-  ing tasks where individuals who are low performers (despite
              proved attentional focus in skilled marksmen. 50,51  While differ-  standard training) may benefit from incorporating cognitive
              ent brain regions were highlighted in these studies, our fNIRS   load management techniques (such as autonomic regulation,
              findings within the PFC align with these results, suggesting that   time pressure management, and selective attention training, to
              proficient marksmen manage the demands of dynamic shooting   promote more efficient PFC regulation). 10,55  For example, tacti-
              tasks more efficiently than non-proficient marksmen (Figure 2).   cal breathing has been shown to improve tactical performance
              In the context of neuroimaging techniques, EEG is inherently   when used as a relaxation technique; however, the hemo-
              more susceptible to motion artifacts within the head and up-  dynamic responses of the PFC have not been investigated. 56,57
              per body, which limits its applications to field applications that   Understanding the psychophysiological responses leading to
              require dynamic movements or tactical engagements.  In con-  poor tactical performance can be used to develop individual-
                                                      34
              trast, fNIRS allows for natural movement, typically is smaller   ized training programs that target the deficit limiting perfor-
              in size, and can be deployed in more real-world environments.    mance. Future interventions could modulate PFC activity (such
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              Thus, integrating fNIRS for military applications may be a ro-  as cognitive training or neuromodulation) to assess their direct
              bust and applicable neuroimaging technique for monitoring   impact on marksmanship performance. Clarifying whether en-
              warfighter performance in training.                hancing PFC efficiency translates to operational improvements
                                                                 would provide valuable insight for training strategies.
              While this study provides novel insights into proficiency-based
              differences in PFC activation during dynamic marksmanship   Conclusion
              tasks, several limitations should be acknowledged. First, the
              sample consisted of civilians who would be considered novice   Understanding group differences in PFC activation during
              marksmen, which may limit the generalizability of these find-  marksmanship tasks can provide critical insight into the neu-
              ings to experienced shooters such as Special Operations Forces.   ral and neurovascular mechanisms underlying superior per-
              While our findings align with the neural efficiency hypothesis,   formance in military personnel. This study supports the use
              future research should include a broader range of expertise lev-  of fNIRS-based technology as a tool for identifying cognitive
              els to determine whether similar trends exist in elite marksmen   load differences in marksmen with differing proficiency levels.
              and servicemembers operating under high-stress conditions.  Incorporating fNIRS as a physiological biofeedback tool can
                                                                 be useful for developing more comprehensive marksmanship
              Second, although the study was designed to stratify partici-  training regimens that improve marksmanship skills and en-
              pants based on marksmanship performance, it did not spe-  hance cognitive resilience, leaving servicemembers better pre-
              cifically account for potential sex-related differences in PFC   pared for real-world operations.
              activation, and as a result, the man-to-woman ratio differed
              between groups (proficient: 8 men / 4 women, non-proficient:   Author Contributions
              4 men / 8 women). Prior literature suggests that sex-based   OFS and CMS conceived the study concept. OFS, CBU, MDS,
              differences in PFC activation may exist during cognitive and   HDD, JRT, RMR, and CMS recruited participants. OFS, TXS,
              motor tasks, potentially influencing the fNIRS-derived hemo-  HDD, JRT, MDS, CBU, and RMR coordinated and collected
              dynamic outcomes. 52–54  However, our statistical approach   the data, and OFS and CMS analyzed the data. OFS, TXS, and
              accounted for inter-individual variability by including the in-  CMS wrote the first draft. All authors read and approved the
              tercept as random factors, and sex differences were not an-  final manuscript.
              ticipated to systematically impact marksmanship performance
              in this context. Future studies should consider balancing sex   Disclosures
              distribution across proficiency levels to clarify its influence on   The authors have indicated they have no financial relation-
              PFC activity during marksmanship.                  ships relevant to this article to disclose.
              Last, this study observed distinct patterns of PFC activation,   Funding
              as reflected in fNIRS-derived hemodynamic variables, between   The authors have indicated they have no financial relation-
              individuals stratified by proficiency level; however, causality   ships relevant to this article to disclose.
              cannot be definitively established. While greater cognitive load
              in non-proficient marksmen may indicate inefficient neural   References
              processing, it remains unclear whether skilled marksmen nat-  1.  Kerick SE. Neurocognitive adaptations associated with marksman-
              urally exhibit lower cognitive load due to experience-driven   ship training. Dissertation. University of Maryland, College Park;
                                                                   2001.  Accessed  September 9, 2024.  https://www.proquest.com/
              efficiency. To determine any potential causality, future research   docview/250713016/abstract/6D42D53FF0AF4492PQ/1
              should employ interventional studies that systematically increase   2.  Hatfield B, Haufler  A, Contreras-Vidal J. Brain processes and
              or decrease PFC activation while measuring marksmanship   neurofeedback for performance enhancement of precision motor

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