3-compression nerfs coude 2013

Upload: professeur-christian-dumontier

Post on 01-Jun-2018

226 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/9/2019 3-Compression Nerfs Coude 2013

    1/105

    Fcaprmssncls lmrvmusmsdutcur iu fcuim

    Fjrnstndl Iuacltnmr

    Vmrvnfm im fjnrurhnm podstnqum, Lnfm(dvmf odnim nfclchrdpjnqum im I. Om Pnmt, M.Wcuoct mt [. Imsacnlmdux)

  • 8/9/2019 3-Compression Nerfs Coude 2013

    2/105

    [mtnt rdppmo dldtcanqum5 qumos sclt omslmr`s qun pdssmlt dutcur iu fcuim 3

    Lmr` uoldnrm

    Lmr` rdindo

    Lmr` aindl

    Lmr` ausfuoc-futdl (odtrdo futdl imodvdlt-grds)

    Lmr` futdl aindo im odvdlt-grds

    Lmr` futdl aindo iu grds

    Lmr` futdl icrsdo im odvdlt-grds

    @rqumlfm

    +

  • 8/9/2019 3-Compression Nerfs Coude 2013

    3/105

    Napcrtdlt

    Oms fcaprmssncls lmrvmusms ims pmtntms lmr`s futdlssclt gmdufcup acnls `rqumltms qum oms osncls

    ndtrchlms ocrs im od fjnrurhnm iu fcuimFclldtrm omur dldtcanm +++

    Od syaptcadtcochnm ims fcaprmssncls dsscfnm5

    icuomur od prmssncl icuomur nrrdindlt idls om tmrrntcnrmdldtcanqum, trcugoms smlsntn`s pdr`cns

    OMAH vd dnimr, sn vcus prfnsmz vctrm imadlim mt qumvctrm fcrrmspclidlt mst fcaptmlt.

  • 8/9/2019 3-Compression Nerfs Coude 2013

    4/105

    Fcaprmssncl iu lmr`

    futdl icrsdo im odvdlt-grds

    Vyaptams 5

    - Icuomurs suprd-fcliyonmllms

    - [drmstjsnm im od `dfm icrsdom im o'dvdlt grds

    - Jypcmstjsnm

    - Jypmrdohsnm

    - [ds i'dttmnltm inhntdom

    Vnhlms5

    - Ynlmo+

    - Icuomurs dhhrdvms pdr oms acuvmamltsiu fcuim

  • 8/9/2019 3-Compression Nerfs Coude 2013

    5/105

    Fcaprmssncl iu ausfuoc-futdl

    (odtrdo dltgrdfjndo im odvdlt-grds)

    Ifrnt pdr Gdssmt mt Lulomy ml 4>:7

    Fcaprmssncl iu lmr` du gcri mxtmrlmiu tmlicl gnfnpntdo

    Gdssmt, Lulomy. Fcaprmssncl c` tjm ausfuocfutdlmcus lmrvm dt tjm mogcw. EGEV Da 4>:72 09D54;=;-7.

    Idvniscl, Gdssmt, Lulomy. Ausfuocfutdlmcus lmrvm mltrdpamlt rmvnsntmi. E Vjcuoimr Mogcw 4>>:2 857=;-=.

  • 8/9/2019 3-Compression Nerfs Coude 2013

    6/105

    Fcaprmssncl iu ausfuoc-futdl(odtrdo dltgrdfjndo im odvdlt-grds)

    Om lmr` amrhm 7 9 fa du-imssus iupon iu fcuim

    Du gcri mxtmrlm iu tmlicl gnfnpntdo (no mst 4fa ml imjcrs iu tmlicl du pon iu fcuim)

    No pmut trm nrrnt ocrs ims acuvmamlts im

    prcldtncl mt imxtmlsncl

  • 8/9/2019 3-Compression Nerfs Coude 2013

    7/105

    Dldtcanm iu lmr` ausfuoc futdl

    supnldtncl prcldtncl

  • 8/9/2019 3-Compression Nerfs Coude 2013

    8/105

    Fcaprmssncl iu ausfuoc-futdl

    (odtrdo dltgrdfjndo im odvdlt-grds)Icuomurs vmrsdlt mxtmrlm iu fcuim

    Icuomurs onantdlt omxtmlsncl ml prcldtncl

    Ynlmo mt icuomurs od prmssncl iu lmr`

    Yrcugoms smlsntn`s

    4/7 suprnmur im oDPG ml pdoadnrm4/6 sup im oDPG ml icrsdo

    Vcuvmlt ims ecumurs im tmllns

  • 8/9/2019 3-Compression Nerfs Coude 2013

    9/105

    Yrdntmamlt ainfdo

    !D.N.L.V.

    !Wmpcs

    !Vupprmssncl iu trduadtnsam (tmllns ++)

    !Dttmoom onantdlt omxtmlsncl iu fcuim (7; tc 9;)!Nlemftncl im fcrtnfcims

    !]otrd scls

  • 8/9/2019 3-Compression Nerfs Coude 2013

    10/105

    Ymfjlnqum fjnrurhnfdom

    Wmprdhm lmr` gcri mxt. iu gnfmps 7 9 fa iu pon im mxncl iu fcuim

    Mxfnsncl iul trndlhom iu gnfmps vuolrdlt ml prcldtncl/mxtmlsncl

  • 8/9/2019 3-Compression Nerfs Coude 2013

    11/105

    Dldtcanm5Crnhnlm (F:-Y4)- trclf 7dnrm dltrc-aindo (8:%)

    Crnhnlm fcaaulm dvmf om lmr` grdfjndo futdl

    nltmrlm =9%!Lmr` smlsntn` pur ( Adsmdr d trcuv idls 69% im

    fds im rdamdux drtnfuodnrms pcur om fcuim)

    ! [drtnm nltmrlm im odrtrm juardom dltrnmurm dulmr` uoldnrm

    Fcaprmssncl iu lmr`

    dltgrdfjndo futdl nltmrlm

    AdsmdrPW, Amymr WI mt [nfjcrd IWVurhnfdo dldtcay c` tjm amindo dltmgrdfjndofutdlmcus lmrvm E c` Jdli Vurh Pco 49D Lc7 [drt 4 Adrfj 4>:>)

    Wdfm A, Vdoidld A- dldtcanf fcursm c` tjm amindo futdlmcus fcursm c` tjm dra, E Jdli Vurh

    Pco 40D, Lc4 Edl 4>>4

    L. fugntdo

    L. DFN

  • 8/9/2019 3-Compression Nerfs Coude 2013

    12/105

    Lmr` aindl du fcuimGmdufcup acnls `rqumlt qum omsylircam iu fdldo fdrpnml

    Dsscfndtncl pcssngom (icugom frusj)

    6 zclms tjcrnqums im fcaprmssncl

    Imux tdgomdux fonlnqums

    Vylircam iu rcli prcldtmur

    Vylircam iu lmr` nltmrcssmuxdltrnmur

  • 8/9/2019 3-Compression Nerfs Coude 2013

    13/105

    Wdppmo dldtcanqum

    Odfmrtus fflgrcsus

    Imux fjm`s iu prcldtcr tmrms

    Drfdim iu @omxcr inhntcrua supmrfflfndons

    !Uclms ausfuodnrms mt/cu tmlinlmusms!fcaprmssncl iyldanqum

    Du fcuim, om lmr` aindl pdssm suffmssnvmamlt

  • 8/9/2019 3-Compression Nerfs Coude 2013

    14/105

    Odfmrtus fflgrcsus

    Mxpdlsncl aindom iu tmlicl instdo iu gnfmps

    @dfnom pdopmr

  • 8/9/2019 3-Compression Nerfs Coude 2013

    15/105

    [rcldtcr tmrms

    Imux fjm`s (pnfcliyonmlaindo mt uoldnrm)

    Lcagrmusms vdrndtncls(imsscus-imsscus-mltrm oms imux

    fjm`s)

  • 8/9/2019 3-Compression Nerfs Coude 2013

    16/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    17/105

    Drfdim iu mxcr inhntcrua

    supmrfflfndons

    Imux fjm`s

    Uclm im ldnssdlfm iu lmr`nltmrcssmux dltrnmur

  • 8/9/2019 3-Compression Nerfs Coude 2013

    18/105

    [ous rdrmamlt (4)

    Gursntm gnfnpntdom -rupturm iu tmlicl iugnfmps grdfjndo

    Onhdamlt im Vtrutjmrs

  • 8/9/2019 3-Compression Nerfs Coude 2013

    19/105

    [ous rdrmamlt (7)

    Ausfoms surluardnrms5

    Ausfom im Hdltzmr (@[O dffmsscnrm)

    Ausfom mxcr fdrpn rdindons dffmsscnrm

    Drfdims vdsfuodnrms dlcradoms

    Fdos vnfnmux, squmooms im ouxdtncls iu fcuim, tuamurs,hdrrct plmuadtnqum, dffcufjmamlt....

  • 8/9/2019 3-Compression Nerfs Coude 2013

    20/105

    Vylircam iu prcldtcr tmrms

    Indhlcstnf mxfousnvmamlt fonlnqum !

    <

    Dprs ul m` crt ml prclcsupnldtncl, nlstdoodtnclprchrmssnvm, im snhlms smlsntn`s (Icuomurs < pdrmstjsnms)inurlms.

    Dvdlt-grds, `dfm dltrnmurm iu fcuim, "m``crt

  • 8/9/2019 3-Compression Nerfs Coude 2013

    21/105

    Vylircam iu prcldtcr tmrms

    [rmssncl, 9 fa scus onltmronhlm, ml prcldtncl fcltrdrnmpmut rmprciunrm oms syaptams

    [dr`cns jypcmstjsnm ocfdonsm

    Adluvrms prcvcfdtrnfms

  • 8/9/2019 3-Compression Nerfs Coude 2013

    22/105

    @omxncl iu fcuim dvmf supnldtncl fcltrm rsnstdlfmamt ml tmlsncl om odfmrtus

    [rcldtncl fcltrm rsnstdlfm scoonfntm om prcldtcr tmrms

    @omxncl fcltrdrnm im oN[[ iu ademur

  • 8/9/2019 3-Compression Nerfs Coude 2013

    23/105

    Gnodl fcapoamltdnrm

    Wdinchrdpjnms stdlidris !fdos vnfnmux cu dpcpjysmsus-pntrcfjomllm

    Mfjchrdpjnm < NWA

    MAH (trs cprdtmur ipmlidlt)

    [csntn` idls acnls im 4;% ims sylircams iuprcldtcr tmrms

  • 8/9/2019 3-Compression Nerfs Coude 2013

    24/105

    Yrdntmamlt

    Vylircam iu prcldtcr tmrms

    Mvnftncl ims hmstms rnsqum (omsqumos 3)

    Fjnrurhnm sn dttmnltm dldtcanqum vnsngom, snhlmsifflfntdnrms, dgsmlfm im rfuprdtncl 9 acns

    Vnlcl rmpcs, DNLV mt dttmoom dltgrdfjndom

  • 8/9/2019 3-Compression Nerfs Coude 2013

    25/105

    Vylircam iu lmr`

    nltmrcssmux dltrnmurImsfrnptncl dlfnmllm (Iufjmllm, Ynlmo, [drscldhm,...)prfnsm pdr Bnocj mt Lmvnl ml 4>=7

    Igut rdpnim, spcltdl (jdotrcpjnoms dprsjypmrprcldtncl `crfm)

    Icuomur nlntndom (fmlsm inspdrdtrm) puns dttmnltm

    actrnfm ifflfntdnrm purmAdlqum im imxtrnt mt im `crfm im od pnlfm N/NN,`dngomssm iu prcldtcr qudirdtus

  • 8/9/2019 3-Compression Nerfs Coude 2013

    26/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    27/105

    Gnodl fcapoamltdnrm

    Wdinchrdpjnms stdlidris !fdos vnfnmux cu dpcpjysm

    sus-pntrcfjmllmsMfjchrdpjnm < NWA

    MAH (trs cprdtmur ipmlidlt)

    [csntn` idls Vi iu lmr` NCD

  • 8/9/2019 3-Compression Nerfs Coude 2013

    28/105

    Yrdntmamlt

    Cgsmrvdtncl pmlidlt 0acns

    Od fjnrurhnm lm smagompds acinfflmr om iodn

    im rfuprdtncl (0-4:acns)

  • 8/9/2019 3-Compression Nerfs Coude 2013

    29/105

    Lmr` rdindo du fcuim

    Lmr` anxtm, ldt im F=F0F8F:

    Yrclf 7dnrm pcstrnmur

    Hcuttnrm im tcrsncl juardom

    [mr`crm od focnsclnltmrausfuodnrm 0-47 fa du-imssus im onltmronhlm

    Invnsncl 7-6 fa im pdrt mtidutrm im onltmronhlm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    30/105

    Od grdlfjm actrnfm pcstrnmurm

    Ldt im od gn`urfdtncl

    [dssm scus om `dnsfmdusupmrfflfnmo iu supnldtcr

    [cur rmecnlirm od `dfm

    pcstrnmurm im oDPG

  • 8/9/2019 3-Compression Nerfs Coude 2013

    31/105

    Ausfom

    Vupnldtmur

    Grdlfjm Actrnfm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    32/105

    Om tullmo rdindo

    Ifflln pdr Wcoms & Aduiomsml 4>87

    Impuns onltmronhlmEusqu omltrm idls omsupnldtcr

    Iclt om gcri suprnmur pmuttrm fflgrmux (drfdim im@rjsm)

  • 8/9/2019 3-Compression Nerfs Coude 2013

    33/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    34/105

    Vupnldtcr

    Mlrcuo dutcur iu rdinus

    7 `dnsfmdux

    [`i trdlsvmrsdo

    Vcus od fdvnt snhacim iufugntus

    @dfm dltmrc-mxt fco rdinus

    Vup` cgonqum

    pnfcliyom (`x acyml OOM)

    @dfm dlt. rdinus

    Mltrm od gr. pcst rdindom

    DWFDIM

  • 8/9/2019 3-Compression Nerfs Coude 2013

    35/105

    DWFDIMIM @WCJVM

    Mpdnssnssmamlt fflgrmux im od pdrtnmprcxnadom iu `dnsfmdu supmrfflfnmo

    Dspmft lcrado ausfuodnrm cufflgrmux ffll

    Yrdls`cradtncl fflgrmusm

    Pdrndltm dldtcanqum

    Dvmf ohmDgsmltm fjmz om @tus

    [ous `rqumltm fjmz odiuotm

    Vuntm suramldhm rptntn`

    GrVmlsntnvm

    GrActrnfm

    GrActrnfm

    GrVmlsntnvm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    36/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    37/105

    Lmr` rdindo trs acgnom

    Acuvt im Gdodydhm

    Ml supnldtncl om lmr`

    socnhlm ims nlsmrtncls iusupnldtmur

    Fcaprmssncl mlfcltrdftncl

    Ml prcldtncl pdssnvm

    Ansm ml tmlsncl imodrfdim

    WD[[MODLDYCANT]M

  • 8/9/2019 3-Compression Nerfs Coude 2013

    38/105

    Om Vylircam iu Yullmo Wdindo

    [dtjcochnm iu acuvmamlt 3

  • 8/9/2019 3-Compression Nerfs Coude 2013

    39/105

    Wsuotdts

    Dldoysm auotnvdrnm5 rhrmssncl ochnstnqum

    Wmodtncl mltrm om VYW mt jypmrscoonfntdtncl prc`mssncllmoomFclfflradtncl ims icllms dldtcanqums

  • 8/9/2019 3-Compression Nerfs Coude 2013

    40/105

    Vylircam iu Yullmo Wdindo

    (Wcoms,Aduisomy,Wntts,Onstmr,Ldrdbds,Wdnagmdu)

    Duful i`nfnt Actmur om pous scuvmlt +++

    Igut icuocurmux Nrrdindtncls du pcnhlmt

    Icuomurs 5 lcfturlms

    5 prmssncl fco iu rdinus

    5 Mxtmlsncl fcltrdrnm iu Ainus

    Duful i`nfnt Vmlsntn` cgemftn`

  • 8/9/2019 3-Compression Nerfs Coude 2013

    41/105

    [drsnm pous qum pdrdoysnmIgut scuvmlt prchrmssn`

    Dppdrntncl squmltnmoom

    [dr`cns rdpnim[dr`cns nlicocrm

    @rqumltms icuomurs

    Wmfruimsfmlfm lcfturlm@dfm mxtmrlm iu fcuim[drtnm prcxnadom dvt grds

    [ds im trcugoms smlsntn`s + + +

    OM V^LIWCAM IM ODWFDIM IM@WCJVM 1 tullmo rdindo

  • 8/9/2019 3-Compression Nerfs Coude 2013

    42/105

    MAHGnodtrdo fcapdrdtn`Ymfjlnqumamlt in`fflfnom

    Pntmssm im fcliuftncl

    Wdomltnssmamlt actmur

    Gocf im fcliuftncl[ds idlcadonm iu pctmltnmosmlsntn` instdo

    Ilmrvdtncl iu fct dttmnlt5

    MFI, M[ NN, MF]

    [ds idlcadonm

    MFWO, GW, Yrnfmps

    O i n

  • 8/9/2019 3-Compression Nerfs Coude 2013

    43/105

    Oms dutrms fdusms im fcaprmssncliu lmr` rdindo

    Fcaprmssncl pdr vdrndltms dldtcanqums

    MFWG gcri nltmrlm dhrmssn`

    Drfdim vdsfuodnrm

    Drtrm rdindom rfurrmltm

    Yrduadtnsams cstc-drtnfuodnrms

    @rdfturms ouxdtncl ttm rdindom

    Fjnrurhnm

    Yuamurs

    Onpcams, Bystms sylcvndux, dlhncams

  • 8/9/2019 3-Compression Nerfs Coude 2013

    44/105

    YWDNYMAMLY

    Ainfdo du ipdrt

    Crtjsm im ansm du rmpcs

    Fcuim fjn mlsupnldtncl

    Vurvmnoodlfm

    fonlnqum mt MAH

    Fjnrurhnfdo

    Ml odgsmlfm idaoncrdtncl 6 A

    P.D dltrnmurm

    VA

  • 8/9/2019 3-Compression Nerfs Coude 2013

    45/105

    VYW - Wsuotdts

    !>7% Wcoms & Aduisomy 6: fds 4>87

    !=4% Wntts 6> fds 4>:8 A[

    !84% Wdnagmdu 6= fds 4>>;

    !6>% Vctmrmdlcs 7: fds 4>>> A[

    !8=% Im Vamt

    7; fds

    4>>>

  • 8/9/2019 3-Compression Nerfs Coude 2013

    46/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    47/105

    Oms fcaprmssncls

    prcxnadoms iu lmr`nltmrcssmux cstrnmur

    Y go on n

  • 8/9/2019 3-Compression Nerfs Coude 2013

    48/105

    Ydgomdux fonlnqums

    [drdoysnm rdindom gdssm

    Fcapotm

    Nlfcapotm

    Nlicocrm (cu prmsqum)

    Oms icuomurs pmuvmlt prfims od pdrdoysnm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    49/105

    Crnhnlm im od fcaprmssncl

    Yrs vdrnms

    Ycuecurs rdrmsDldtcanqums

    Yuacrdoms

    Yrduadtnqums

  • 8/9/2019 3-Compression Nerfs Coude 2013

    50/105

    Fdusms trduadtnqums

    Fcltusncl dppuym dltrc-mxtmrlm

    @rdfturms mt ouxdtncls

    Osncls ndtrchlms +++

  • 8/9/2019 3-Compression Nerfs Coude 2013

    51/105

    Cstcsyltjsm iu rdinus

    Wsmftncl im ttm rdindomMlfocudhm iu rdinusWnlsmrtncl iu gnfmps

    Dgodtncl im podqum iu rdinus

    Mxrsm tuacrdomDrtjrcsfcpnm iu fcuimInstrdftmur iu fcuim

    Yrdntmamlt fjnrurhnfdo ipnfcliyodohnmOngrdtncl im sylcstcsm rdinc-fugntdom suprnmurm..

  • 8/9/2019 3-Compression Nerfs Coude 2013

    52/105

    Lmurcoysm prnlmurdom5 om pous scuvmlt

    pnlmurctcanm sn lmr` ml sdgonmr

    Wfuprdtncl fcapotm mltrm 6 47 acns

    Wsmftncl mt suturm cu hrm``m lmrvmusm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    53/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    54/105

    OMV VNYMV IM FCA[WMVVNCL D] FC]IM

    Drfdim im

    Vtrutjmrs

    Imrrnrm

    opntrcfjom

    Yullmo fugntdo

    DWFDIM IM

  • 8/9/2019 3-Compression Nerfs Coude 2013

    55/105

    DWFDIM IMVYW]YJMWV

    4:=9 (Drfdim @ngrmusm)

    : fa du imssus pnY

    8; % 4;;% ims fds

    Dlt.1 smptua NA nlt

    [od`cli 1 (7fa)

    OGN

    @ngrm sup` fjm` nlt Y6

    [odlfjmr 1

    Juarus

    @ngrms p`i Fjm` nlt Y6

    FCA[WMVVNCL D] LNPMD] IM

  • 8/9/2019 3-Compression Nerfs Coude 2013

    56/105

    Drfdim im Vtrutjmrs

    Ml prnlfnpm lcl fcaprmssnvmsdu` qudli trdlspcsntncl

    dltrnmurm (Vulimrodli)Om lmr` icnt docrs pdssmr mldvdlt iu VNA

    Onhdamlt im Vtrutjmrs

    Wdrmamlt fcaprmssn` ml fugntdo

    Onhdamlt grdfjndo nltmrlm

    [dr`cns fcaprmssn`

    FCA[WMVVNCL D] LNPMD] IMODWFDIM IM VYW]YJMWV

  • 8/9/2019 3-Compression Nerfs Coude 2013

    57/105

    ML DWWNMWM IM OM[NYWCFJOMM

    [jysncochnqumamlt5

    (Dp`mogmrh , Odrscl, 4>86)

    Fcursm im 4 fa

    Yrdlsodtncl dlt im ;.86 aa

    Inanlutncl im fdongrm

    [ Z 4;

    tnrmamlt 9.8 aa ml mxnclYcutm mltrdvm od acgnont iu lmr`pmut prcvcqumr ulm lmurcpdtjnm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    58/105

    ML DWWNMWM IM OM[NYWCFJOMM

    Vqumoom im `rdfturmcu drtjrcsm

    Dlcadonms pntrcfjomllmsfclhlntdoms

    Lmr` nlstdgom

    Dlcadonms ausfuodnrmsYuamurs

    Fcaprmssncls pcsturdoms

  • 8/9/2019 3-Compression Nerfs Coude 2013

    59/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    60/105

    Dlcadonms pntrcfjomllmsfclhlntdoms

    Vi im Fjnoirmss

    (4>=0)

    Nlstdgnont

    Ouxdtncl fugntdom

    Iedltmamltiu lmr`ml mxncl

    ML DWWNMWM IM OM[NYWCFJOMM

    ;

    6;

    >;

  • 8/9/2019 3-Compression Nerfs Coude 2013

    61/105

    OM Y]LLMO F]GNYDO

  • 8/9/2019 3-Compression Nerfs Coude 2013

    62/105

    OM Y]LLMO F]GNYDO

    Csgcrlm (4>=8)

    Yullmo cstc-fflgrmux

    [od`cli 1 Dplvinlsmrtncl ims imuxfjm`s iu @F] 1Onhdamlt iCsgcrlm

    [odlfjmr 1 Drtnfuodtncliu fcuim, OON

    Wtrfn ml mxncl

    P n tn i

  • 8/9/2019 3-Compression Nerfs Coude 2013

    63/105

    Pdrndtncls iu

    pod`cli

    Od gdlimomttm pntrcfjoc-cofrdlnmllm pmut trm5

    Dgsmltm(pmu) @ngrmusm

    @ngrmusm

    Wmapodfm pdr ul ausfom

  • 8/9/2019 3-Compression Nerfs Coude 2013

    64/105

    @DFM [WC@CLIM I] @F]

    DADINC

    4>:0

    Dpclvrcsmmltrmfjnssmurs

    Wcli

    [rcldtmurDu pcnlt imscrtnm iu tullmofugntdo

  • 8/9/2019 3-Compression Nerfs Coude 2013

    65/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    66/105

    Om indhlcstnf

    Fonlnqum5

    Icuomurs, pdrmstjsnms uoldnrm ml mxncl, rmfruimsfmlfm

    lcfturlm, `dngomssm cu adodirmssm

    Wmprciuntms pdr om Ymst im Adfbnllcl (E.Jdli Vurh 4>>9

    Fcuim ml mxncl supnldtncl, Vmlsngnons fcaprmssncl,

    [csntn` ml 6; VmfclimsVtdgnont iu lmr` 3+++

  • 8/9/2019 3-Compression Nerfs Coude 2013

    67/105

    Oms `crams ifflfntdnrms

    Vmlsntnvms (9am & =am icnht, `dfmicrsdom im od 9am fcaanssurm)

    Actrnfms (lmr` uoldnrm)

  • 8/9/2019 3-Compression Nerfs Coude 2013

    68/105

    Od Fodssnfflfdtncl utnonsm

    Adf Hcwdl N

    Dlcadonms smlsntnvms

    "Gocf im fcliuftncl

    " Wdomltnssmamlt fcuim-P

    [ds i dlcadonm actrnfm

    Adf Hcwdl NN

    Dlcadonms smlsntnvms

    " Gocf im fcliuftncl

    " Wdomltnssmamlt fcuim-P

    Dlcadonms actrnfms

    Wdomltnssmamlt im od

    fcliuftncl

    Adf Hcwdl NNN

    Dlcadonms smlsntnvms

    " Gocf im fcliuftnclfcapomt

    " Pntmssm lcl amsurdgom

    Dlcadonms actrnfms

    Wdomltnssmamlt mt gocf

    Lmst pds pmr`cradltm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    69/105

    Fodssnfflfdtncls

    Adf Hcwdl acinffl

    Hcoigmrh E.Jdli Vurh4>:>

    Yypm 4 5 `crams sugemftnvms

    Yypm 7 5

    7D5 jypcmstjsnm, inanlutncl `crfm,

    sdls dayctrcpjnm7G5 dvmf dayctrcpjnm

    Yypm 65 `crams ifflfntdnrms

    ImooclLmurcsurh Fonl L Da 4>>4

    Vmlsntn`, actmur, tmst# Hrdim 4

    [drmstjsnm nlt ,`dngomssm sug, tmst ADF. +

    # Hrdim 7Vmlsn vngr ?, `crfm?, ffllhmr frcss +cu -

    # Hrdim 6[drmstjsnms pmr.,tmst im Xmgmr,

    dayctrcpjnm ,ffllhmr frcss +

  • 8/9/2019 3-Compression Nerfs Coude 2013

    70/105

    Mxdamls fcapoamltdnrms

    Wdinchrdpjnms

    @dfm , prcfflo ,ifflo

    Mfjchrdpjnm

    Indatrm psmuiclvrcam

    VtdgnontNWA

    Mfjmf cu rfninvm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    71/105

    MAH5 nlinspmlsdgom

    Fclfflramr om indh.

    Wmfjmrfjmr ulm dutrm fcaprmssncl

    Mvdoumr onapcrtdlfm im od fcaprmssncl

    Dpprfnmr oms fjdlfms im rfuprdtncl

    Lmurcpdtjnm dsscfnm

    Amsurm gnfmltnatrnqum

    Amsurm ml mxncl fcuim

  • 8/9/2019 3-Compression Nerfs Coude 2013

    72/105

    Indhlcstnf in``rmltnmo

    Yuamur, syrnlhcayonm,sforcsm ml podqum

    VOD pds im snhlm smlsntn`

    [coylvrntm

    Drtjrcsm , jmrlnm insfdom

    Vylircam ifflo fmrvnfctjcrdfnqum

    Ochm im Huycl

    Mpntjrcfjontm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    73/105

    Dsscfndtncl dvmf aindl

    FF mt fcaprmssncl du fcuim 4=%

    Gcnsrmlcuot [, Imsacnlmdux [ WFC 4>>8

    Drtjrcsm fmrvnfdom

    Ifflo

    Onhdamlt im Vtrutjmrs

  • 8/9/2019 3-Compression Nerfs Coude 2013

    74/105

    Yrdntmamlt ainfdo 3

    Dttmoom im rmpcs lcfturlm

    Acinfflfdtncl iu pcstm im trdvdno

    Nlfflotrdtncl3

  • 8/9/2019 3-Compression Nerfs Coude 2013

    75/105

    Yrdntmamlt fjnrurhnfdo

    [ousnmurs onantms

    Om sntm mxdft im od fcaprmssncl lmst pds tcuecurs fcllu

    Duful trdvdno ld acltr od suprncrnt iulm tmfjlnqum surulm dutrm

    Lmurcoysm nl sntu (mlicsfcpnm, anln-dgcri)

    Mpntrcfjomftcanm/pntrcfjocpodstnmYrdlspcsntncl (scus-futdlm, nltrd-ausfuodnrm, scus-ausfuodnrm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    76/105

    Om sntm im fcaprmssncl

    Csgcrlm

    7>

    Mpntrcfjom

    8Ausfom pntrcfjoc-cofrdlnml =

    Drfdim prcxnadom

    7Lcrado 49

  • 8/9/2019 3-Compression Nerfs Coude 2013

    77/105

    Ifcaprmssncl nl-sntu

    Nlfnsncl fmltrm sur om lmr` uoldnrm

    [rcpcsm pdr Discl (4>4:)

    [rnlfnpms5 smftncllmr tcutms oms strufturms pctmltnmoomamltfcaprmssnvms ml rmspmftdlt oms grdlfjms smlsntnvms mt

    drtnfuodnrms

    [rnlfnpdo rnsqum5 rmlirm om lmr` nlstdgom

  • 8/9/2019 3-Compression Nerfs Coude 2013

    78/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    79/105

    Ymlidlfm

    Anln-dgcri

    Wsuotdts

  • 8/9/2019 3-Compression Nerfs Coude 2013

    80/105

    Wsuotdts

    Imoocl :>5 atd-dldoysm

    Wsuotdts gcls cu mxfmoomlts5

    @crams anlnams5 >9% (1) @crams acymllms5 66% (?)

    @crams svrms5 6; % (1)

    Ydux idhhrdvdtncl pcst-cprdtcnrm om pous `dngomLdtjdl >=5 409 fds

    Wsuotdt gcl cu mxfmoomlt5 :>%

  • 8/9/2019 3-Compression Nerfs Coude 2013

    81/105

    Opntrcfjocpodstnm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    82/105

    Opntrcfjocpodstnm

    #Om Pnmt 4>>4#Mvntmr oms fcaponfdtncls imopntrcfjomftcanm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    83/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    84/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    85/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    86/105

    Vrnm im Omvnmt

    4>>6-7;;;787 fcaprmssncls iu lmr` fugntdo du fcuim

    447 cprms dvmf tmfjlnqum nimltnqum

    :> icssnmrs mxpocntdgoms

    Fcaponfdtncls pntrcfjocpodstnm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    87/105

    Fcaponfdtncls pntrcfjocpodstnm

    Icuomurs fnfdtrnfnmooms 78

    Onantdtncl im od acgnont 4=

    Lvrcam GFN 7

    Vugouxdtncl iu lmr` 7

    Jadtcam 7

    @rdfturm im opntrcfjom 4

    Vuppurdtncl supmrfflfnmoom 4

    Iystclnm im `clftncl 4

    Dohciystrcpjnm 4

  • 8/9/2019 3-Compression Nerfs Coude 2013

    88/105

    Yrdlspcsntncl

    6 tmfjlnqums pcssngoms

    Gut5 hdnl rmodtn` im oclhumur lmrvmusm pcur outtmr fcltrm omspjlcalms im trdftncl/fcaprmssncl

    [rcgoams5 Inssmftncl mxtmlsnvm dvmf ivdsfuodrnsdtncl,sdfrnfflfm ims grdlfjms drtnfuodnrms, rnsqums im frdtncl iul

    lcuvmdu sntm im fcaprmssncl, nlstdgnont ml mxtmlsnclYC]EC]WV rsqumr om smptua nltmrausfuodnrm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    89/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    90/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    91/105

    Yrdlspcsntncl scus-ausfuodnrm

    Omdracltj 4>97Vmftncl ml U ims ausfoms pntrcfjomls

    Wnsqum im mssua cu im Wupturm ausfuodnrm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    92/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    93/105

    Nlinfdtncls pr`rmltnmooms

    Wmprnsms fjnrurhnfdomsI`cradtncls iu fcuim

    Nlstdgnont iu lmr`

    Wsuotdts 5 onttrdturm

  • 8/9/2019 3-Compression Nerfs Coude 2013

    94/105

    Wsuotdts 5 onttrdturm

    Gcls rsuotdts ocrsqum rdonsm ml prmanrmnltmltncl

    Dsdan 4>>: :8 %

    [dsqum

    4>>=

    :9 %Fcapdrdgom dux dutrms tmfjlnqums

    Vtu``mr scus-fut4>>4 :0 %

    Ldtjdl

    nl sntu

    4>>4

    8= %Cstmradlscus-fut4>>0 >; %

    Grdul mpnfcli 4>>= 00 %

  • 8/9/2019 3-Compression Nerfs Coude 2013

    95/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    96/105

    Yrdntmamlt mlicsfcpnqum

    7 tmaps

    ]l tmaps im inssmftncl im odrfdim iCsgcrlm mt iu`dsfnd iu @F] (fnmo cuvmrt, anln-dgcri)

    ]l tmaps im smftncl mlicsfcpnqum iu rtnldfuoua sus-

    pntrcfjoml

  • 8/9/2019 3-Compression Nerfs Coude 2013

    97/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    98/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    99/105

  • 8/9/2019 3-Compression Nerfs Coude 2013

    100/105

    D o i o

  • 8/9/2019 3-Compression Nerfs Coude 2013

    101/105

    Dldoysm ims rsuotdts

    Vmocl ofjmoom im Adf Hcwdl

    Hurnscl 0; %

    Daoncrdtncl

    7= %Vmocl ofjmoom im Imoocl

    Hurnscl == %

    Dgsmlfm idhhrdvdtncl fonlnqum cu MAH

    Dgsmlfm im rfninvms

  • 8/9/2019 3-Compression Nerfs Coude 2013

    102/105

    Dvdltdhms im omlicsfcpnm

    [ds im lvrcam

    Grdfjndo futdl nltmrlm mt dltgrdfjndo frcnsmlt idls :; 4;;%

    Hmooadl J Jdli Fonl4>>0

    >;% ims icuomurs pmrsnstdltms dprs t. fnmo cuvmrt

    Edfbscl OF Jdli Fonlnfs4>>0

    Iurm drrt im trdvdno 58 ecurs

    Fnmo cuvmrt 6 = smadnlms

    Yrdlspcsntncl scus ausfuodnrm 49 smadnlms

    O ` o n i

  • 8/9/2019 3-Compression Nerfs Coude 2013

    103/105

    Om lmr` uoldnrm du fcuim

    Ycutms oms tmfjlnqums icllmlt ims rsuotdtssmagodgoms

    Om prcgoam5

    Tucn `dnrm fcaam tmfjlnqum 3

    qun 3

    [cur qumos rsuotdts 3

    T int o n 3

  • 8/9/2019 3-Compression Nerfs Coude 2013

    104/105

    Tum int od sfnmlfm 3

    Gdrtmos WJ, Pmrjdhml XN, vdl imr Xnot HE, Amuostmm E, vdl Wcssua OH,Hrctmlguns ED. [rcspmftnvm rdlicansmi fcltrcoomi stuiy fcapdrnlh snapomimfcaprmssncl vmrsus dltmrncr sugfutdlmcus trdlspcsntncl `cr nincpdtjnflmurcpdtjy c` tjm uoldr lmrvm dt tjm mogcw5 [drt N. Lmurcsurhmry. 7;;=2=05=77

    =6;.

    Gnhhs A, Furtns ED. Wdlicansmi, prcspmftnvm stuiy fcapdrnlh uoldr lmurcoysnsnl sntu wntj sugausfuodr trdlspcsntncl. Lmurcsurhmry. 7;;02=:57>06;9.

    Hmrvdsnc C, Hdagdrimood H, Udffclm F, Grdlfd I. Vnapom imfcaprmssncl vmrsusdltmrncr sugausfuodr trdlspcsntncl c` tjm uoldr lmrvm nl smvmrm fugntdo tullmo

    sylircam5 d prcspmftnvm rdlicansmi stuiy. Lmurcsurhmry. 7;;=2=054;:448.

    oms tmfjlnqums oms pous snapoms icllmlt oms

    amnoomurs rsuotdts

    T int o n 3 (7)

  • 8/9/2019 3-Compression Nerfs Coude 2013

    105/105

    Tum int od sfnmlfm 3 (7)

    Uocwcizbn A, Fjdl V, Gjdlidrn A, Bdoondnlml N, Vfjugmrt X.Dltmrncr trdlspcsntncl fcapdrmi wntj snapom imfcaprmssncl `crtrmdtamlt c` fugntdo tullmo sylircam. D amtd-dldoysns c`

    rdlicansmi, fcltrcoomi trndos. E Gclm Ecnlt Vurh Da.7;;82:>57=>47=>: (poutt ifcaprmssncl qum trdlspcsntncl)

    Adfdida VD, Hdlijn W, Gmzujoy A, Om`dnvrm BD. Vnapomimfcaprmssncl vmrsus dltmrncr sugfutdlmcus dli sugausfuodrtrdlspcsntncl c` tjm uoldr lmrvm `cr fugntdo tullmo sylircam5 damtd-dldoysns. E Jdli Vurh Da. 7;;:266546494679 (poutttrdlspcsntncl)