Balance Strategy Exercise versus Lower Limb-ROM Exercise for Reducing the Risk of Falls among Older People

Background: Falls are a significant health problem and the most common cause of injuries in older people. Different types of exercise have been recommended to prevent falls, including balance exercise and range of motion. However, there is a lack of evidence to compare the effect of the two exercises.Purpose: This study aimed to compare the effect of Balance Strategy Exercise (BSE) and Lower Limb-Range of Motion (ROM) exercise on reducing the risk of falls among older people living in long-term care facilities. Methods: This was a quasi-experimental study using a pre-post design without a control group. A total of 30 older adults from two nursing homes who met the inclusion and exclusion criteria participated in the study. A cluster randomization technique was used to assign the older people into either BSE or Lower-Limb ROM groups evenly. Treatment was given for 30 minutes per session, three sessions per week for three weeks. The risk of falls was measured using the Timed Up and Go (TUG) test. The paired t-test, Wilcoxon and Mann-Whitney U-test were used to analyze the data. Results: Results showed significant differences in the TUG scores before and after the intervention within both the BSE (p=0.001) and the Lower Limb-ROM group (p=0.001). However, the Lower Limb-ROM group demonstrated a significantly higher reduction in TUG score than the BSE group after the intervention (p=0.008).Conclusion: Lower Limb-ROM exercise is better to reduce the risk of falls among older people living in institutional care than BSE. This exercise can be applied as part of a fall prevention program in nursing homes.

Collaborative Strategies and Simulation of Vehicle Group Behaviors for Off-Ramp Areas

With the increase of vehicle ownership and the rapid growth of urban traffic, the problem of congestion in the off-ramp area of the main expressway has become the main factor restricting overall section efficiency and inducing traffic accidents. This paper focuses on the problem of group collaborative lane-changing behaviors of off-ramp vehicles and through vehicles in off-ramp areas and proposes four kinds of vehicle group collaborative strategies based on different road space balance conditions. According to a three-lane expressway scene, a VISSIM-based simulation model is built and the optimization scheme is simulated and evaluated. The simulation results show that with the increase of traffic flow in off-ramp areas, a flow-balance strategy for downstream lanes where off-ramp vehicles merge with the outside lane in advance is more advantageous. When vehicles are leaving the main road, if traffic flow is heavy, the flow-balance strategy for lanes where off-ramp vehicles merge with the outside lane in advance (for example, the proportion of off-ramp vehicles in three lanes is 0 : 0 : 1) is better; otherwise, when the traffic flow on the main road is relatively small, the flow-balance strategy for lanes where off-ramp vehicles are distributed in lanes with different ratios (e.g., 1 : 3 : 6) is better. What is more, for future traffic management in connected vehicle environments, it can be concluded that collaborative vehicle lane-changing strategies with different traffic flow states can help to enhance traffic efficiency.

The Balance Strategy between Structural Safety and Sensing Accuracy Inspired by Slit-Based Mechanical Sensilla

In engineering, cracks are typically regarded as defects due to enormous stress amplification at tip of the crack. Conversely, scorpion ingeniously utilizes the “risky” near-tip stress field of a crack-shaped slit to accurately detect weak vibration signal without causing catastrophic crack propagation from the slit tip. The present paper focuses on the balance strategy between structural safety and sensing accuracy of slit-based mechanical sensilla. We performed a detailed structural and mechanical property study of tissue around the slit wake utilizing a complementary combination of various experimental methods. The results indicate that there is a special thin surface membrane covering the slit wake and the elastic moduli of the membrane and exoskeleton are 0.562 GPa and 5.829 GPa, respectively. In addition, the ratio of bending stiffness between exoskeleton and membrane tissue is about 8 × 104. The theoretical and simulation analysis show that the surface membrane—with appropriate elastic modulus and bending stiffness—can achieve different forms of deformation with the change of slit width for protecting the mechanosensory structure without sacrificing the sensing accuracy. This finding offers a crucial theoretical basis for the further design of bionic mechanical sensors based on the near-tip stress field of artificial cracks.