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Graphene has been extensively explored to enhance functional and mechanical properties of metal matrix nanocomposites for wide-range applications due to their superior mechanical, electrical and thermal properties. This article discusses recent advances of key mechanisms, synthesis, manufacture, modelling and applications of graphene metal matrix nanocomposites. The main strengthening mechanisms include load transfer, Orowan cycle, thermal mismatch, and refinement strengthening. Synthesis technologies are discussed including some conventional methods (such as liquid metallurgy, powder metallurgy, thermal spraying and deposition technology) and some advanced processing methods (such as molecular-level mixing and friction stir processing). Analytical modelling (including phenomenological models, semi-empirical models, homogenization models, and self-consistent model) and numerical simulations (including finite elements method, finite difference method, and boundary element method) have been discussed for understanding the interface bonding and performance characteristics between graphene and different metal matrices (Al, Cu, Mg, Ni). Key challenges in applying graphene as a reinforcing component for the metal matrix composites and the potential solutions as well as prospectives of future development and opportunities are highlighted.

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BackgroundKnee osteoarthritis (KOA) is the leading cause of pain and stiffness, affecting older adults’ physical function and quality of life. As a form of mind-body exercise, Tai Chi has been recommended as an exercise prescription for KOA patients. This study examined the effects and continuation of modified Tai Chi exercises on physical function and quality of life in elderly women with KOA.MethodsWe conducted a single-blind, randomized controlled trial (RCT) on 40 older women with KOA. The participants were randomized to a 12 weeks Tai Chi or control group. The Tai Chi group attended a kind of modified Tai Chi training sessions three times per week; the control group attended wellness education sessions once a week. The primary outcome was the Western Ontario and McMaster University Osteoarthritis Index (WOMAC). Secondary outcomes were the Berg Balance Scale (BBS), Timed Up and Go (TUG), Short-Form 36 (SF-36), Pittsburgh Sleep Quality of Index (PSQI), Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (SDS).ResultsAfter the 12-weeks the Tai Chi group showed significan improvement in the WOMAC pain (mean difference, −5.09 points, p = 0.001), WOMAC stiffness (mean difference, −3.60 points, p = 0.002), WOMAC physical function (mean difference, −11.21 points, p = 0.001) compared to the control group. In addition, the Tai Chi group had also significant improvement in the BBS (mean difference, 1.70 points, p = 0.008), TUG (mean difference, −0.52s, p = 0.001), SF-36PCS (mean difference, 7.60 points, p = 0.001), MCS (mean difference, 7.30 points, p = 0.001), PSQI (mean difference, −3.71 points, p = 0.001), SDS (mean difference, −5.37 points, p = 0.025) and SAS (mean difference, −5.06 points, p = 0.002).ConclusionThe modified Tai Chi exercises are an effective treatment for improved physical function and quality of life in elderly women with KOA.Clinical Trial RegistrationThe trial was registered in Chinese Clinical Trial Registry (ChiCTR2000040721), http://www.chictr.org.cn/edit.aspx?pid=65419&htm=4.

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