Tim Cottman - Fields - Strength & Rehab

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Tim Cottman - Fields - Strength & Rehab

A information sharing health initiative with the focus on bridging the gap between evidence and practice.

From Sports Medicine/ Physiotherapy, Strength and Conditioning/ Exercise Physiology to Nutrition and Lifestyle and Mindset.

11/05/2025

Day in the life of a Physiotherapist working in professional tennis.

⬇️

🎾Setup room, review emergency procedures and AED placement, fill ice bags
🎾 Review handovers from Physio’s from previous tournaments and flagged athletes (anaphylaxis location of EpiPen etc)
🎾 Treat athletes - I usually see about 15-20 athletes in a day this includes massage, cover and protect blisters, skin management, taping, manipulation, dry needling and on court first aid.
🎾 Pack up, debrief with officials

Days are long usually 10-12hrs always being on call
Best parts are getting athletes through the tournament who have niggles and injuries. I throughly enjoy the fast pace and at times high pressure environment.
As you can tell at times the weather isn’t that ideal ⛈️

05/30/2025

The race that wasn’t meant to be. I had a good start through to transition but after given wrong directions and then getting lost and back tracking I “finished” at 43/ 50kms. After a 20min discussion with the race director about redoing sections it was determined to be too difficult to retrace steps. A little disappointed that I couldn’t complete the course but I was happy to be there as obstacle racing is always fun. I look forward to getting muddy again soon.

12/29/2023

Metacognition in practice
…
Metacognitive practice is something that all healthcare professionals should learn more about and strive to utilize regularly. Being conscious/ aware of cognitive processes (thinking about thoughts) and really understanding the reasons behind why certain decisions are made can really improve future outcomes and teaching it can help students develop higher critical thinking. It can really help you understand what you do know, what you don’t and can reduce implicit bias.
It is a vital skill for clinical reasoning.

Questions to consider:
• Why am I thinking this way?
• What lead me down this path?
• Why did things go wrong/ right?

There are so many layers and levels when diving into the world metacognitive presses and clinical reasoning. The infographics give great examples how to simply it. I have found that SELF ASSESSMENT and REFLECTION are keystones and can provide good foundation for most.

References:
Bampa, G., Moraitou, D., Metallidou, P. (2021). Metacognition in Cognitive Rehabilitation in Adults: A Systematic Review. In: Moraitou, D., Metallidou, P. (eds) Trends and Prospects in Metacognition Research across the Life Span. Springer, Cham. https://doi.org/10.1007/978-3-030-51673-4_13

Kosior, Ken; Wall, Tracy; Ferrero, Sarah. The Role of Metacognition in Teaching Clinical Reasoning: Theory to Practice. Education in the Health Professions 2(2):p 108-114, Jul–Dec 2019. | DOI: 10.4103/EHP.EHP_14_19

Medina MS, Castleberry AN, Persky AM. Strategies for Improving Learner Metacognition in Health Professional Education. Am J Pharm Educ. 2017 May;81(4):78. doi: 10.5688/ajpe81478. PMID: 28630519; PMCID: PMC5468716.

Fleur DS, Bredeweg B, van den Bos W. Metacognition: ideas and insights from neuro- and educational sciences. NPJ Sci Learn. 2021 Jun 8;6(1):13. doi: 10.1038/s41539-021-00089-5. PMID: 34103531; PMCID: PMC8187395.
Infographic 1 https://spencerauthor.com/metacognition/metacognition-cycle-3/
Infographic 2
https://camhsprofessionals.co.uk/2021/03/31/8-ways-to-develop-metacognitive-skills-%F0%9F%8C%8D/

12/22/2023

Cold water immersion/ cold baths/ cryotherapy

…

It’s all the rage right now. Here’s my thoughts and why I love it.

👉🏻 It’s NOT just for muscle recovery. So many benefits. One of the reasons why I love it is because it’s always challenging, you never really get used it and it makes you calm and regulate your system. I.e breathing, muscle tension, heart rate.

👉🏻 It’s easy to do in your own home. A cold shower can work and is still and nice test or fill the bath with 10-15kgs of ice.

👉🏻 ideally you do 10degC for 10mins to make it that bit easier when you you are starting you can do contrast therapy by doing intervals of warm/ hot water. This would look like the following: 2-3mins hot 30s-1min cold x 2 to 4 rounds.

👉🏻 To aid in recovery after exercise you can get away with doing cold water therapy 72hrs after

👉🏻 For best results DO NOT do straight after a muscle building or hypertrophy session

04/26/2023

Had the pleasure of giving a lecture to new graduate Exercise Physiologists on respiratory conditions.

02/16/2023

I’m a big fan of compression particularly in recovery. Whether it’s compression garments, wearing bandages post fighting as warriors used to do, massage, fancy pneumatic compression (as seen in the picture) or hydrotherapy as water adds a levels of compression. There some good research backing it’s use and also feels pretty damn good. Lucky enough to have a set of these at the local gym.

09/30/2022

That’s a wrap for AYVC 2022. Had a blast leading a great team of Physio’s providing services for QLD state team. There is some unreal volleyball talent in nation right now.

08/03/2021

Ever had trouble differentiating between cervical and shoulder pathology?

To rule in cervical spine:

Pain in or below the elbow
Positive Spurlings test
Positive shoulder abduction test (reduced pain)
Positive arm squeeze test
Reduced biceps reflex

To rule in shoulder:

Pain at night
Positive drop arm sign
Positive impingement testing (Hawkins/ Neers)
Negative shoulder abduction testing (increase pain)

A great article by Katuura and colleagues (2020) highlighting the connection and difference between shoulder and cervical pathologies.

DOI: 10.1177/2192568218822536

07/16/2021

Grade III AC joint injuries are common in sports and are from landing on the tip of your shoulder. Xray’s show the separation of the joint (particularly in a stress view “holding a weight”), ultrasound can show tears and inflammation in he ligaments Grade III out of VI ACJ injuries are traditionally thought to need surgery however this is reserved for individuals who want to improve cosmetic appearance rather than pain/ performance. It can take between 6-8 weeks to heal and common management strategies include: taping, cortisone injections, progressive stability/ strength exercises and foam pads/ doughnut pads or shoulder brace for protection.

02/07/2021

Having greater shoulder external rotation range compared to internal rotation does NOT matter! as the combined total rotation is close to 180deg

Address

3732 Canada Way
Burnaby, BC
V5G1G4

Website

http://www.scienced-athletics.ca/

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