Previous studies have revealed that several cortical signatures are associated with superior motor performance in sports, particularly precision sports. This review examined the strength of the evidence from these studies so that a clear conclusion could be drawn and a concrete direction for future efforts revealed. A total of 26 articles assessing the relationship between cortical activity and precision motor performance were extracted from databases. This review concluded that among the electroencephalographic components examined, only sensorimotor rhythm demonstrated a consistent and causal relationship with superior precision motor performance, whereas findings related to the left temporal alpha and frontal theta and alpha rhythms were not consistent and lacked the evidence needed to draw a causal inference for a role in superior precision motor performance. Future studies would benefit from methodological improvements including larger sample sizes, narrower skill-gap comparisons, evidenced-based and refined neurofeedback-training protocols, and consideration of ecological validity.
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