Tim Cottman - Fields - Strength & Rehab

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.

Was fortunate enough to observe a total ankle replacement the other day. Much less common than knees and hips. Designed ...
08/14/2026

Was fortunate enough to observe a total ankle replacement the other day. Much less common than knees and hips. Designed to give relief for OA when conservative approaches fail. Patients can be touch weight bear straight away but will likely be immobilised for 4 to 6 weeks. Bone fusion usually takes this take. The ankle will be more restricted in movement however the they should have much less pain and improved quality of life.

Confro 2026 What a week, great to be back involved with footy. A busy few days of injuries due to the number of games be...
07/05/2026

Confro 2026 What a week, great to be back involved with footy. A busy few days of injuries due to the number of games being played. Many busted shoulders and knees, a couple of fractures and quite a few concussions just on my field. You could certainly feel the spirit of confro with many of the schools. Until next year!

That’s a wrap 🎉 all done for the Australian Junior Teams Championship 2026 u11 & u13 🎾. Injuries included blisters, rota...
06/30/2026

That’s a wrap 🎉 all done for the Australian Junior Teams Championship 2026 u11 & u13 🎾. Injuries included blisters, rotator cuff issues, BSI’s and PFJS. Some amazing junior talent emerging in AUS.

I had a great few days helping out the medical team at the WT President’s Cup Oceania Championship & Australian Open on ...
06/21/2026

I had a great few days helping out the medical team at the WT President’s Cup Oceania Championship & Australian Open on the Gold Coast. Watched some epic fights with athletes representing many different countries. Until next time 🙏🥊

02/05/2026

Testing day - let’s go🤛🏻

…

Fortunate enough to have access to the best performance testing gear. Crazy enough to test my limits every now and then.

Drop jump - RSI, asymmetries
10-5 Test - Mean active stiffness, RSI,
Asymmetries
IMTP - Peak force and RFD
Nordic Curl - hamstring strength and balance

Finding out what to work on and seeing if the training is paying off.

01/19/2026

Pleasure helping out with preseason performance testing and field sessions for NRLW West Tigers over the weekend.

01/06/2026

GOING HARD IN THE PAINT 🧱

Today’s garage gym workout:
👉🏻 Warm up/ mobility >> short run through each movement (as pictured)
👉🏻 30min AMRAP
1km Row
BB Complex Hang high pulls, Bent Over Row, Deadlift @ 50kgs
1km Run

Felt this one 🥵

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 ⛈️

The race that wasn’t meant to be. I had a good start through to transition but after given wrong directions and then get...
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.

Metacognition in practice …Metacognitive practice is something that all healthcare professionals should learn more about...
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/

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