Purpose: To determine and compare the effects of core stability exercise programs performed in two different environments in lumbar disc herniation (LDH) patients. Method: Thirty-one patients who were diagnosed with LDH and were experiencing pain or functional disability for at least 3 months were randomly divided into two groups as land-based exercises or water specific therapy. Also, 15 age–sex-matched healthy individuals were recruited as healthy controls. Both groups underwent an 8-week (3 times/week) core stabilization exercise program. Primary outcomes were pain, trunk muscle static endurance and perceived disability level. The secondary outcome was health-related quality of life. Results: Level of static endurance of trunk muscles was found to be lower in the patients compared to the controls at baseline (p < 0.05). Both treatment groups showed significant improvements in all outcomes (p < 0.05) after 8-week intervention. When two treatment groups were compared, no differences were found in the amount of change after the intervention (p > 0.05). After the treatment, static endurance of trunk muscles of the LDH patients became similar to controls (p > 0.05). Conclusion: According to these results, core stabilization exercise training performed on land or in water both could be beneficial in LDH patients and there is no difference between the environments. Implications for Rehabilitation An 8-week core stabilization program performed in water or on land decrease pain level and improve functional status in LDH patients. Both programs seem beneficial to increase health-related quality of life and static endurance of trunk muscles. Core stability exercises could be performed in water as well, no differences were found between methods due to environment.

Aim: It is aimed to determine the factors affecting mortality in pediatric patients followed up with severe traumatic brain injury in the pediatric intensive care unit. Material and method: All patients followed up in the Pediatric Intensive Care Unit between April 2019 and April 2021 due to severe traumatic brain injury were included. Demographic characteristics, pre-intensive care interventions and imaging findings, treatments applied in intensive care and intervention information of all patients were collected. Results were evaluated as survival rate, presence of tracheostomy requirement, brain death, and Pediatric Cerebral Performance Scale at discharge. The patients divided into two groups as survivors and non-survivors. All obtained data were compared between the two groups. Results: During the study period, 47 patients with a diagnosis of severe traumatic brain injury were followed up. It was observed that the requirement of cardiopulmonary resuscitation, the need for inotrope-vasopressor and the need for erythrocyte transfusion were statistically significantly higher in the non-survivor group. (p value, respectively: 0.001, 0.001, 0.001) The survival rate in all patients in the study group was 70.2%. In non-survivor group most common pupil response at admission was fixed-dilated (71.4%). In non-survivor group 60% of the patients were lost in the first 24 hours of intensive care. Conclusion: Mortality increases in patients who need resuscitation, erythrocyte transfusion and inotrope before intensive care. Patients who died showed pathologic pupillary response and low GCS. Severe TBH patients died mostly in first 24 hours of admission.

Objective: Mental imagery involves forming internal sensory representations, while osteoarthritis is a degenerative joint disease characterized by cartilage loss. This study explores how mental imagery can modulate pain perception and enhance visual processing in individuals with knee osteoarthritis. Methods: Forty‐eight participants were randomly assigned to a mental imagery group or a treatment group. The treatment group received conventional physiotherapy interventions, including ultrasound, transcutaneous electrical nerve stimulation, hot pack application, and isometric knee exercises, while the mental imagery group mentally imagined the same treatments. Both groups underwent interventions for 10 days, with assessments before and after. Pain intensity was measured using the visual analog scale (VAS), and visual processing was assessed through the digital pareidolia test. Results: Both groups exhibited significant reductions in VAS scores, with the mental imagery group demonstrating a more substantial decrease. Notably, the mental imagery group had faster reaction times to face pareidolia images, indicating improved visual processing. In contrast, the treatment group’s reaction times to face pareidolia images remained unchanged. Conclusion: These findings highlight that mental imagery could serve as an alternative approach to pain management and cognitive enhancement, potentially influencing top‐down mechanisms in facial pattern recognition. This highlights the potential for mental imagery to be integrated into therapeutic strategies for pain‐related conditions, promoting personalized, innovative treatments.