Highway to PSR2
[openemr.git] / contrib / forms / rom / report.php
blob29cad9e03a5563dedc9d8c1354fc9ad085a00dbf
1 <?php
2 // Copyright (C) 2009 Aron Racho <aron@mi-squared.com>
3 //
4 // This program is free software; you can redistribute it and/or
5 // modify it under the terms of the GNU General Public License
6 // as published by the Free Software Foundation; either version 2
7 //------------Forms generated from formsWiz
8 include_once("../../globals.php");
9 include_once($GLOBALS["srcdir"] . "/api.inc");
10 function rom_report($pid, $encounter, $cols, $id)
12 $count = 0;
13 $data = formFetch("form_rom", $id);
14 if ($data) {
17 <table border='1' bordercolor='#000000' cellpadding='7' cellspacing='0' class='text'>
18 <col>
19 <col>
20 <col>
21 <col>
22 <tbody>
24 <tr valign='top'>
25 <td colspan='4'>
26 <p align='left'><b>Neck</b></p>
27 </td>
28 </tr>
29 <tr valign='top'>
30 <td>
31 <p align='center'>&nbsp;</p>
32 </td>
33 <td>
34 <p align='center'><b>NORMAL</b></p>
35 </td>
36 <td>
37 <p align='center'><b>ACTIVE</b></p>
38 </td>
39 <td>
40 <p align='center'><b>PASSIVE</b></p>
41 </td>
42 </tr>
44 <tr valign='top'>
45 <td>
46 <p align='center'>Flexion</p>
47 </td>
48 <td>
49 <p align='center'><b>0-50°</b></p>
50 </td>
51 <td>
52 <p align='center'><?php echo $data['r1_1_active']?>&nbsp;</p>
53 </td>
54 <td>
55 <p align='center'><?php echo $data['r1_1_passive']?>&nbsp;</p>
56 </td>
57 </tr>
59 <tr valign='top'>
60 <td>
61 <p align='center'>Extension</p>
62 </td>
63 <td>
64 <p align='center'><b>0-60°</b></p>
65 </td>
66 <td>
67 <p align='center'><?php echo $data['r1_2_active']?>&nbsp;</p>
68 </td>
69 <td>
70 <p align='center'><?php echo $data['r1_2_passive']?>&nbsp;</p>
71 </td>
72 </tr>
74 <tr valign='top'>
75 <td>
76 <p align='center'>Right Lateral Bending</p>
77 </td>
78 <td>
79 <p align='center'><b>0-45°</b></p>
80 </td>
81 <td>
82 <p align='center'><?php echo $data['r1_3_active']?>&nbsp;</p>
83 </td>
84 <td>
85 <p align='center'><?php echo $data['r1_3_passive']?>&nbsp;</p>
86 </td>
87 </tr>
89 <tr valign='top'>
90 <td>
91 <p align='center'>Left Lateral Bending</p>
92 </td>
93 <td>
94 <p align='center'><b>0-45°</b></p>
95 </td>
96 <td>
97 <p align='center'><?php echo $data['r1_4_active']?>&nbsp;</p>
98 </td>
99 <td>
100 <p align='center'><?php echo $data['r1_4_passive']?>&nbsp;</p>
101 </td>
102 </tr>
104 <tr valign='top'>
105 <td>
106 <p align='center'>Right Rotation</p>
107 </td>
108 <td>
109 <p align='center'><b>0-80°</b></p>
110 </td>
111 <td>
112 <p align='center'><?php echo $data['r1_5_active']?>&nbsp;</p>
113 </td>
114 <td>
115 <p align='center'><?php echo $data['r1_5_passive']?>&nbsp;</p>
116 </td>
117 </tr>
119 <tr valign='top'>
120 <td>
121 <p align='center'>Left Rotation</p>
122 </td>
123 <td>
124 <p align='center'><b>0-80°</b></p>
125 </td>
126 <td>
127 <p align='center'><?php echo $data['r1_6_active']?>&nbsp;</p>
128 </td>
129 <td>
130 <p align='center'><?php echo $data['r1_6_passive']?>&nbsp;</p>
131 </td>
132 </tr>
134 <tr valign='top'>
135 <td colspan='4'>
136 <p align='left'><b>Back</b></p>
137 </td>
138 </tr>
139 <tr valign='top'>
140 <td>
141 <p align='center'>&nbsp;</p>
142 </td>
143 <td>
144 <p align='center'><b>NORMAL</b></p>
145 </td>
146 <td>
147 <p align='center'><b>ACTIVE</b></p>
148 </td>
149 <td>
150 <p align='center'><b>PASSIVE</b></p>
151 </td>
152 </tr>
154 <tr valign='top'>
155 <td>
156 <p align='center'>Flexion</p>
157 </td>
158 <td>
159 <p align='center'><b>0-90°</b></p>
160 </td>
161 <td>
162 <p align='center'><?php echo $data['r1_7_active']?>&nbsp;</p>
163 </td>
164 <td>
165 <p align='center'><?php echo $data['r1_7_passive']?>&nbsp;</p>
166 </td>
167 </tr>
169 <tr valign='top'>
170 <td>
171 <p align='center'>Extension</p>
172 </td>
173 <td>
174 <p align='center'><b>0-25°</b></p>
175 </td>
176 <td>
177 <p align='center'><?php echo $data['r1_8_active']?>&nbsp;</p>
178 </td>
179 <td>
180 <p align='center'><?php echo $data['r1_8_passive']?>&nbsp;</p>
181 </td>
182 </tr>
184 <tr valign='top'>
185 <td>
186 <p align='center'>Right Lateral Bending</p>
187 </td>
188 <td>
189 <p align='center'><b>0-25°</b></p>
190 </td>
191 <td>
192 <p align='center'><?php echo $data['r1_9_active']?>&nbsp;</p>
193 </td>
194 <td>
195 <p align='center'><?php echo $data['r1_9_passive']?>&nbsp;</p>
196 </td>
197 </tr>
199 <tr valign='top'>
200 <td>
201 <p align='center'>Left Lateral Bending</p>
202 </td>
203 <td>
204 <p align='center'><b>0-25°</b></p>
205 </td>
206 <td>
207 <p align='center'><?php echo $data['r1_10_active']?>&nbsp;</p>
208 </td>
209 <td>
210 <p align='center'><?php echo $data['r1_10_passive']?>&nbsp;</p>
211 </td>
212 </tr>
214 <tr valign='top'>
215 <td>
216 <p align='center'>Right Lateral Rotation</p>
217 </td>
218 <td>
219 <p align='center'><b>0-30°</b></p>
220 </td>
221 <td>
222 <p align='center'><?php echo $data['r1_11_active']?>&nbsp;</p>
223 </td>
224 <td>
225 <p align='center'><?php echo $data['r1_11_passive']?>&nbsp;</p>
226 </td>
227 </tr>
229 <tr valign='top'>
230 <td>
231 <p align='center'>Left Lateral Rotation</p>
232 </td>
233 <td>
234 <p align='center'><b>0-30°</b></p>
235 </td>
236 <td>
237 <p align='center'><?php echo $data['r1_12_active']?>&nbsp;</p>
238 </td>
239 <td>
240 <p align='center'><?php echo $data['r1_12_passive']?>&nbsp;</p>
241 </td>
242 </tr>
243 </tbody></table>
244 </p>
245 <table border='1' bordercolor='#000000' cellpadding='7' cellspacing='0' class='text'>
246 <col>
247 <col>
248 <col>
249 <col>
250 <col>
251 <col>
252 <tr valign='top'>
253 <td>
254 <p align='center'>Straight Leg Raising (supine)</p>
255 </td>
256 <td>
257 <p align='center'><b>0-90°</b></p>
258 </td>
259 <td>
260 <p align='center'><?php echo $data['r2_1_rt_active']?>&nbsp;</p>
261 </td>
262 <td>
263 <p align='center'><?php echo $data['r2_1_rt_passive']?>&nbsp;</p>
264 </td>
265 <td>
266 <p align='center'><?php echo $data['r2_1_lf_active']?>&nbsp;</p>
267 </td>
268 <td>
269 <p align='center'><?php echo $data['r2_1_lf_passive']?>&nbsp;</p>
270 </td>
271 </tr>
272 <tr valign='top'>
273 <td>
274 <p align='center'>Straight Leg Raising (sitting)</p>
275 </td>
276 <td>
277 <p align='center'><b>0-90°</b></p>
278 </td>
279 <td>
280 <p align='center'><?php echo $data['r2_2_rt_active']?>&nbsp;</p>
281 </td>
282 <td>
283 <p align='center'><?php echo $data['r2_2_rt_passive']?>&nbsp;</p>
284 </td>
285 <td>
286 <p align='center'><?php echo $data['r2_2_lf_active']?>&nbsp;</p>
287 </td>
288 <td>
289 <p align='center'><?php echo $data['r2_2_lf_passive']?>&nbsp;</p>
290 </td>
291 </tr>
293 <tr valign='top'>
294 <td colspan='6'>
295 <p align='left'><b>Shoulder</b></p>
296 </td>
297 </tr>
298 <tr valign='top'>
299 <td>
300 <p align='center'>&nbsp;</b></p>
301 </td>
302 <td>
303 <p align='center'><b>NORMAL</b></p>
304 </td>
305 <td>
306 <p align='center'><b>(R) Active</b></p>
307 </td>
308 <td>
309 <p align='center'><b>(R) Passive</b></p>
310 </td>
311 <td>
312 <p align='center'><b>(L) Active</b></p>
313 </td>
314 <td>
315 <p align='center'><b>(L) Passive</b></p>
316 </td>
317 </tr>
318 <tr valign='top'>
319 <td>
320 <p align='center'>Abduction</p>
321 </td>
322 <td>
323 <p align='center'><b>0-150°</b></p>
324 </td>
325 <td>
326 <p align='center'><?php echo $data['r2_3_rt_active']?>&nbsp;</p>
327 </td>
328 <td>
329 <p align='center'><?php echo $data['r2_3_rt_passive']?>&nbsp;</p>
330 </td>
331 <td>
332 <p align='center'><?php echo $data['r2_3_lf_active']?>&nbsp;</p>
333 </td>
334 <td>
335 <p align='center'><?php echo $data['r2_3_lf_passive']?>&nbsp;</p>
336 </td>
337 </tr>
338 <tr valign='top'>
339 <td>
340 <p align='center'>Forward Elevation</p>
341 </td>
342 <td>
343 <p align='center'><b>0-150°</b></p>
344 </td>
345 <td>
346 <p align='center'><?php echo $data['r2_4_rt_active']?>&nbsp;</p>
347 </td>
348 <td>
349 <p align='center'><?php echo $data['r2_4_rt_passive']?>&nbsp;</p>
350 </td>
351 <td>
352 <p align='center'><?php echo $data['r2_4_lf_active']?>&nbsp;</p>
353 </td>
354 <td>
355 <p align='center'><?php echo $data['r2_4_lf_passive']?>&nbsp;</p>
356 </td>
357 </tr>
358 <tr valign='top'>
359 <td>
360 <p align='center'>Internal Rotation</p>
361 </td>
362 <td>
363 <p align='center'><b>0-80°</b></p>
364 </td>
365 <td>
366 <p align='center'><?php echo $data['r2_5_rt_active']?>&nbsp;</p>
367 </td>
368 <td>
369 <p align='center'><?php echo $data['r2_5_rt_passive']?>&nbsp;</p>
370 </td>
371 <td>
372 <p align='center'><?php echo $data['r2_5_lf_active']?>&nbsp;</p>
373 </td>
374 <td>
375 <p align='center'><?php echo $data['r2_5_lf_passive']?>&nbsp;</p>
376 </td>
377 </tr>
378 <tr valign='top'>
379 <td>
380 <p align='center'>External Rotation</p>
381 </td>
382 <td>
383 <p align='center'><b>0-90°</b></p>
384 </td>
385 <td>
386 <p align='center'><?php echo $data['r2_6_rt_active']?>&nbsp;</p>
387 </td>
388 <td>
389 <p align='center'><?php echo $data['r2_6_rt_passive']?>&nbsp;</p>
390 </td>
391 <td>
392 <p align='center'><?php echo $data['r2_6_lf_active']?>&nbsp;</p>
393 </td>
394 <td>
395 <p align='center'><?php echo $data['r2_6_lf_passive']?>&nbsp;</p>
396 </td>
397 </tr>
398 </tbody></table>
399 </p>
400 <table border='1' bordercolor='#000000' cellpadding='7' cellspacing='0' class='text'>
401 <col>
402 <col>
403 <col>
404 <col>
405 <col>
406 <col>
408 <tr valign='top'>
409 <td colspan='6'>
410 <p align='left'><b>Elbow and Forearm</b></p>
411 </td>
412 </tr>
413 <tr valign='top'>
414 <td>
415 <p align='center'>&nbsp;</b></p>
416 </td>
417 <td>
418 <p align='center'><b>NORMAL</b></p>
419 </td>
420 <td>
421 <p align='center'><b>(R) Active</b></p>
422 </td>
423 <td>
424 <p align='center'><b>(R) Passive</b></p>
425 </td>
426 <td>
427 <p align='center'><b>(L) Active</b></p>
428 </td>
429 <td>
430 <p align='center'><b>(L) Passive</b></p>
431 </td>
432 </tr>
433 <tr valign='top'>
434 <td>
435 <p align='center'>Flexion</p>
436 </td>
437 <td>
438 <p align='center'><b>0-150°</b></p>
439 </td>
440 <td>
441 <p align='center'><?php echo $data['r3_1_rt_active']?>&nbsp;</p>
442 </td>
443 <td>
444 <p align='center'><?php echo $data['r3_1_rt_passive']?>&nbsp;</p>
445 </td>
446 <td>
447 <p align='center'><?php echo $data['r3_1_lf_active']?>&nbsp;</p>
448 </td>
449 <td>
450 <p align='center'><?php echo $data['r3_1_lf_passive']?>&nbsp;</p>
451 </td>
452 </tr>
453 <tr valign='top'>
454 <td>
455 <p align='center'>Extension</p>
456 </td>
457 <td>
458 <p align='center'><b>0°</b></p>
459 </td>
460 <td>
461 <p align='center'><?php echo $data['r3_2_rt_active']?>&nbsp;</p>
462 </td>
463 <td>
464 <p align='center'><?php echo $data['r3_2_rt_passive']?>&nbsp;</p>
465 </td>
466 <td>
467 <p align='center'><?php echo $data['r3_2_lf_active']?>&nbsp;</p>
468 </td>
469 <td>
470 <p align='center'><?php echo $data['r3_2_lf_passive']?>&nbsp;</p>
471 </td>
472 </tr>
473 <tr valign='top'>
474 <td>
475 <p align='center'>Supination</p>
476 </td>
477 <td>
478 <p align='center'><b>0-80°</b></p>
479 </td>
480 <td>
481 <p align='center'><?php echo $data['r3_3_rt_active']?>&nbsp;</p>
482 </td>
483 <td>
484 <p align='center'><?php echo $data['r3_3_rt_passive']?>&nbsp;</p>
485 </td>
486 <td>
487 <p align='center'><?php echo $data['r3_3_lf_active']?>&nbsp;</p>
488 </td>
489 <td>
490 <p align='center'><?php echo $data['r3_3_lf_passive']?>&nbsp;</p>
491 </td>
492 </tr>
493 <tr valign='top'>
494 <td>
495 <p align='center'>Pronation</p>
496 </td>
497 <td>
498 <p align='center'><b>0-80°</b></p>
499 </td>
500 <td>
501 <p align='center'><?php echo $data['r3_4_rt_active']?>&nbsp;</p>
502 </td>
503 <td>
504 <p align='center'><?php echo $data['r3_4_rt_passive']?>&nbsp;</p>
505 </td>
506 <td>
507 <p align='center'><?php echo $data['r3_4_lf_active']?>&nbsp;</p>
508 </td>
509 <td>
510 <p align='center'><?php echo $data['r3_4_lf_passive']?>&nbsp;</p>
511 </td>
512 </tr>
514 <tr valign='top'>
515 <td colspan='6'>
516 <p align='left'><b>Wrist</b></p>
517 </td>
518 </tr>
519 <tr valign='top'>
520 <td>
521 <p align='center'>&nbsp;</b></p>
522 </td>
523 <td>
524 <p align='center'><b>NORMAL</b></p>
525 </td>
526 <td>
527 <p align='center'><b>(R) Active</b></p>
528 </td>
529 <td>
530 <p align='center'><b>(R) Passive</b></p>
531 </td>
532 <td>
533 <p align='center'><b>(L) Active</b></p>
534 </td>
535 <td>
536 <p align='center'><b>(L) Passive</b></p>
537 </td>
538 </tr>
539 <tr valign='top'>
540 <td>
541 <p align='center'>Dorsiflexion</p>
542 </td>
543 <td>
544 <p align='center'><b>0-60°</b></p>
545 </td>
546 <td>
547 <p align='center'><?php echo $data['r3_5_rt_active']?>&nbsp;</p>
548 </td>
549 <td>
550 <p align='center'><?php echo $data['r3_5_rt_passive']?>&nbsp;</p>
551 </td>
552 <td>
553 <p align='center'><?php echo $data['r3_5_lf_active']?>&nbsp;</p>
554 </td>
555 <td>
556 <p align='center'><?php echo $data['r3_5_lf_passive']?>&nbsp;</p>
557 </td>
558 </tr>
559 <tr valign='top'>
560 <td>
561 <p align='center'>Palmar Flexion</p>
562 </td>
563 <td>
564 <p align='center'><b>0-60°</b></p>
565 </td>
566 <td>
567 <p align='center'><?php echo $data['r3_6_rt_active']?>&nbsp;</p>
568 </td>
569 <td>
570 <p align='center'><?php echo $data['r3_6_rt_passive']?>&nbsp;</p>
571 </td>
572 <td>
573 <p align='center'><?php echo $data['r3_6_lf_active']?>&nbsp;</p>
574 </td>
575 <td>
576 <p align='center'><?php echo $data['r3_6_lf_passive']?>&nbsp;</p>
577 </td>
578 </tr>
579 <tr valign='top'>
580 <td>
581 <p align='center'>Radial Deviation</p>
582 </td>
583 <td>
584 <p align='center'><b>0-20°</b></p>
585 </td>
586 <td>
587 <p align='center'><?php echo $data['r3_7_rt_active']?>&nbsp;</p>
588 </td>
589 <td>
590 <p align='center'><?php echo $data['r3_7_rt_passive']?>&nbsp;</p>
591 </td>
592 <td>
593 <p align='center'><?php echo $data['r3_7_lf_active']?>&nbsp;</p>
594 </td>
595 <td>
596 <p align='center'><?php echo $data['r3_7_lf_passive']?>&nbsp;</p>
597 </td>
598 </tr>
599 <tr valign='top'>
600 <td>
601 <p align='center'>Ulnar Deviation</p>
602 </td>
603 <td>
604 <p align='center'><b>0-30°</b></p>
605 </td>
606 <td>
607 <p align='center'><?php echo $data['r3_8_rt_active']?>&nbsp;</p>
608 </td>
609 <td>
610 <p align='center'><?php echo $data['r3_8_rt_passive']?>&nbsp;</p>
611 </td>
612 <td>
613 <p align='center'><?php echo $data['r3_8_lf_active']?>&nbsp;</p>
614 </td>
615 <td>
616 <p align='center'><?php echo $data['r3_8_lf_passive']?>&nbsp;</p>
617 </td>
618 </tr>
620 <tr valign='top'>
621 <td colspan='6'>
622 <p align='left'><b>Hip</b></p>
623 </td>
624 </tr>
625 <tr valign='top'>
626 <td>
627 <p align='center'>&nbsp;</b></p>
628 </td>
629 <td>
630 <p align='center'><b>NORMAL</b></p>
631 </td>
632 <td>
633 <p align='center'><b>(R) Active</b></p>
634 </td>
635 <td>
636 <p align='center'><b>(R) Passive</b></p>
637 </td>
638 <td>
639 <p align='center'><b>(L) Active</b></p>
640 </td>
641 <td>
642 <p align='center'><b>(L) Passive</b></p>
643 </td>
644 </tr>
645 <tr valign='top'>
646 <td>
647 <p align='center'>Abduction</p>
648 </td>
649 <td>
650 <p align='center'><b>0-40°</b></p>
651 </td>
652 <td>
653 <p align='center'><?php echo $data['r3_9_rt_active']?>&nbsp;</p>
654 </td>
655 <td>
656 <p align='center'><?php echo $data['r3_9_rt_passive']?>&nbsp;</p>
657 </td>
658 <td>
659 <p align='center'><?php echo $data['r3_9_lf_active']?>&nbsp;</p>
660 </td>
661 <td>
662 <p align='center'><?php echo $data['r3_9_lf_passive']?>&nbsp;</p>
663 </td>
664 </tr>
665 <tr valign='top'>
666 <td>
667 <p align='center'>Adduction</p>
668 </td>
669 <td>
670 <p align='center'><b>0-20°</b></p>
671 </td>
672 <td>
673 <p align='center'><?php echo $data['r3_10_rt_active']?>&nbsp;</p>
674 </td>
675 <td>
676 <p align='center'><?php echo $data['r3_10_rt_passive']?>&nbsp;</p>
677 </td>
678 <td>
679 <p align='center'><?php echo $data['r3_10_lf_active']?>&nbsp;</p>
680 </td>
681 <td>
682 <p align='center'><?php echo $data['r3_10_lf_passive']?>&nbsp;</p>
683 </td>
684 </tr>
685 <tr valign='top'>
686 <td>
687 <p align='center'>Flexion</p>
688 </td>
689 <td>
690 <p align='center'><b>0-100°</b></p>
691 </td>
692 <td>
693 <p align='center'><?php echo $data['r3_11_rt_active']?>&nbsp;</p>
694 </td>
695 <td>
696 <p align='center'><?php echo $data['r3_11_rt_passive']?>&nbsp;</p>
697 </td>
698 <td>
699 <p align='center'><?php echo $data['r3_11_lf_active']?>&nbsp;</p>
700 </td>
701 <td>
702 <p align='center'><?php echo $data['r3_11_lf_passive']?>&nbsp;</p>
703 </td>
704 </tr>
705 <tr valign='top'>
706 <td>
707 <p align='center'>Extension</p>
708 </td>
709 <td>
710 <p align='center'><b>0-30°</b></p>
711 </td>
712 <td>
713 <p align='center'><?php echo $data['r3_12_rt_active']?>&nbsp;</p>
714 </td>
715 <td>
716 <p align='center'><?php echo $data['r3_12_rt_passive']?>&nbsp;</p>
717 </td>
718 <td>
719 <p align='center'><?php echo $data['r3_12_lf_active']?>&nbsp;</p>
720 </td>
721 <td>
722 <p align='center'><?php echo $data['r3_12_lf_passive']?>&nbsp;</p>
723 </td>
724 </tr>
725 <tr valign='top'>
726 <td>
727 <p align='center'>Internal Rotation</p>
728 </td>
729 <td>
730 <p align='center'><b>0-40°</b></p>
731 </td>
732 <td>
733 <p align='center'><?php echo $data['r3_13_rt_active']?>&nbsp;</p>
734 </td>
735 <td>
736 <p align='center'><?php echo $data['r3_13_rt_passive']?>&nbsp;</p>
737 </td>
738 <td>
739 <p align='center'><?php echo $data['r3_13_lf_active']?>&nbsp;</p>
740 </td>
741 <td>
742 <p align='center'><?php echo $data['r3_13_lf_passive']?>&nbsp;</p>
743 </td>
744 </tr>
745 <tr valign='top'>
746 <td>
747 <p align='center'>External Rotation</p>
748 </td>
749 <td>
750 <p align='center'><b>0-50°</b></p>
751 </td>
752 <td>
753 <p align='center'><?php echo $data['r3_14_rt_active']?>&nbsp;</p>
754 </td>
755 <td>
756 <p align='center'><?php echo $data['r3_14_rt_passive']?>&nbsp;</p>
757 </td>
758 <td>
759 <p align='center'><?php echo $data['r3_14_lf_active']?>&nbsp;</p>
760 </td>
761 <td>
762 <p align='center'><?php echo $data['r3_14_lf_passive']?>&nbsp;</p>
763 </td>
764 </tr>
766 <tr valign='top'>
767 <td colspan='6'>
768 <p align='left'><b>Knee</b></p>
769 </td>
770 </tr>
771 <tr valign='top'>
772 <td>
773 <p align='center'>&nbsp;</b></p>
774 </td>
775 <td>
776 <p align='center'><b>NORMAL</b></p>
777 </td>
778 <td>
779 <p align='center'><b>(R) Active</b></p>
780 </td>
781 <td>
782 <p align='center'><b>(R) Passive</b></p>
783 </td>
784 <td>
785 <p align='center'><b>(L) Active</b></p>
786 </td>
787 <td>
788 <p align='center'><b>(L) Passive</b></p>
789 </td>
790 </tr>
791 <tr valign='top'>
792 <td>
793 <p align='center'>Flexion</p>
794 </td>
795 <td>
796 <p align='center'><b>0-150°</b></p>
797 </td>
798 <td>
799 <p align='center'><?php echo $data['r3_15_rt_active']?>&nbsp;</p>
800 </td>
801 <td>
802 <p align='center'><?php echo $data['r3_15_rt_passive']?>&nbsp;</p>
803 </td>
804 <td>
805 <p align='center'><?php echo $data['r3_15_lf_active']?>&nbsp;</p>
806 </td>
807 <td>
808 <p align='center'><?php echo $data['r3_15_lf_passive']?>&nbsp;</p>
809 </td>
810 </tr>
811 <tr valign='top'>
812 <td>
813 <p align='center'>Extension</p>
814 </td>
815 <td>
816 <p align='center'><b>0°</b></p>
817 </td>
818 <td>
819 <p align='center'><?php echo $data['r3_16_rt_active']?>&nbsp;</p>
820 </td>
821 <td>
822 <p align='center'><?php echo $data['r3_16_rt_passive']?>&nbsp;</p>
823 </td>
824 <td>
825 <p align='center'><?php echo $data['r3_16_lf_active']?>&nbsp;</p>
826 </td>
827 <td>
828 <p align='center'><?php echo $data['r3_16_lf_passive']?>&nbsp;</p>
829 </td>
830 </tr>
832 <tr valign='top'>
833 <td colspan='6'>
834 <p align='left'><b>Ankle and Foot</b></p>
835 </td>
836 </tr>
837 <tr valign='top'>
838 <td>
839 <p align='center'>&nbsp;</b></p>
840 </td>
841 <td>
842 <p align='center'><b>NORMAL</b></p>
843 </td>
844 <td>
845 <p align='center'><b>(R) Active</b></p>
846 </td>
847 <td>
848 <p align='center'><b>(R) Passive</b></p>
849 </td>
850 <td>
851 <p align='center'><b>(L) Active</b></p>
852 </td>
853 <td>
854 <p align='center'><b>(L) Passive</b></p>
855 </td>
856 </tr>
857 <tr valign='top'>
858 <td>
859 <p align='center'>Dorsiflexion</p>
860 </td>
861 <td>
862 <p align='center'><b>0-20°</b></p>
863 </td>
864 <td>
865 <p align='center'><?php echo $data['r3_17_rt_active']?>&nbsp;</p>
866 </td>
867 <td>
868 <p align='center'><?php echo $data['r3_17_rt_passive']?>&nbsp;</p>
869 </td>
870 <td>
871 <p align='center'><?php echo $data['r3_17_lf_active']?>&nbsp;</p>
872 </td>
873 <td>
874 <p align='center'><?php echo $data['r3_17_lf_passive']?>&nbsp;</p>
875 </td>
876 </tr>
877 <tr valign='top'>
878 <td>
879 <p align='center'>Plantar Flexion</p>
880 </td>
881 <td>
882 <p align='center'><b>0-40°</b></p>
883 </td>
884 <td>
885 <p align='center'><?php echo $data['r3_18_rt_active']?>&nbsp;</p>
886 </td>
887 <td>
888 <p align='center'><?php echo $data['r3_18_rt_passive']?>&nbsp;</p>
889 </td>
890 <td>
891 <p align='center'><?php echo $data['r3_18_lf_active']?>&nbsp;</p>
892 </td>
893 <td>
894 <p align='center'><?php echo $data['r3_18_lf_passive']?>&nbsp;</p>
895 </td>
896 </tr>
897 <tr valign='top'>
898 <td>
899 <p align='center'>Inversion</p>
900 </td>
901 <td>
902 <p align='center'><b>0-30°</b></p>
903 </td>
904 <td>
905 <p align='center'><?php echo $data['r3_19_rt_active']?>&nbsp;</p>
906 </td>
907 <td>
908 <p align='center'><?php echo $data['r3_19_rt_passive']?>&nbsp;</p>
909 </td>
910 <td>
911 <p align='center'><?php echo $data['r3_19_lf_active']?>&nbsp;</p>
912 </td>
913 <td>
914 <p align='center'><?php echo $data['r3_19_lf_passive']?>&nbsp;</p>
915 </td>
916 </tr>
917 <tr valign='top'>
918 <td>
919 <p align='center'>Eversion</p>
920 </td>
921 <td>
922 <p align='center'><b>0-20°</b></p>
923 </td>
924 <td>
925 <p align='center'><?php echo $data['r3_20_rt_active']?>&nbsp;</p>
926 </td>
927 <td>
928 <p align='center'><?php echo $data['r3_20_rt_passive']?>&nbsp;</p>
929 </td>
930 <td>
931 <p align='center'><?php echo $data['r3_20_lf_active']?>&nbsp;</p>
932 </td>
933 <td>
934 <p align='center'><?php echo $data['r3_20_lf_passive']?>&nbsp;</p>
935 </td>
936 </tr>
937 </tbody></table>
938 </p>
939 <table border='1' bordercolor='#000000' cellpadding='7' cellspacing='0' class='text'>
940 <col>
941 <col>
942 <col>
943 <col>
944 <col>
945 <col>
947 <tr valign='top'>
948 <td colspan='6'>
949 <p align='left'><b>Hands and Fingers</b></p>
950 </td>
951 </tr>
952 <tr valign='top'>
953 <td>
954 <p align='center'>&nbsp;</b></p>
955 </td>
956 <td>
957 <p align='center'><b>NORMAL</b></p>
958 </td>
959 <td>
960 <p align='center'><b>(R) Active</b></p>
961 </td>
962 <td>
963 <p align='center'><b>(R) Passive</b></p>
964 </td>
965 <td>
966 <p align='center'><b>(L) Active</b></p>
967 </td>
968 <td>
969 <p align='center'><b>(L) Passive</b></p>
970 </td>
971 </tr>
972 <tr valign='top'>
973 <td>
974 <p align='center'>MCP Flexion thumb</p>
975 </td>
976 <td>
977 <p align='center'><b>0-90°</b></p>
978 </td>
979 <td>
980 <p align='center'><?php echo $data['r4_1_rt_active']?>&nbsp;</p>
981 </td>
982 <td>
983 <p align='center'><?php echo $data['r4_1_rt_passive']?>&nbsp;</p>
984 </td>
985 <td>
986 <p align='center'><?php echo $data['r4_1_lf_active']?>&nbsp;</p>
987 </td>
988 <td>
989 <p align='center'><?php echo $data['r4_1_lf_passive']?>&nbsp;</p>
990 </td>
991 </tr>
992 <tr valign='top'>
993 <td>
994 <p align='center'>MCP flexion rest fingers</p>
995 </td>
996 <td>
997 <p align='center'><b>0-90</b></p>
998 </td>
999 <td>
1000 <p align='center'><?php echo $data['r4_2_rt_active']?>&nbsp;</p>
1001 </td>
1002 <td>
1003 <p align='center'><?php echo $data['r4_2_rt_passive']?>&nbsp;</p>
1004 </td>
1005 <td>
1006 <p align='center'><?php echo $data['r4_2_lf_active']?>&nbsp;</p>
1007 </td>
1008 <td>
1009 <p align='center'><?php echo $data['r4_2_lf_passive']?>&nbsp;</p>
1010 </td>
1011 </tr>
1012 <tr valign='top'>
1013 <td>
1014 <p align='center'>MCP extension</p>
1015 </td>
1016 <td>
1017 <p align='center'><b>0°</b></p>
1018 </td>
1019 <td>
1020 <p align='center'><?php echo $data['r4_3_rt_active']?>&nbsp;</p>
1021 </td>
1022 <td>
1023 <p align='center'><?php echo $data['r4_3_rt_passive']?>&nbsp;</p>
1024 </td>
1025 <td>
1026 <p align='center'><?php echo $data['r4_3_lf_active']?>&nbsp;</p>
1027 </td>
1028 <td>
1029 <p align='center'><?php echo $data['r4_3_lf_passive']?>&nbsp;</p>
1030 </td>
1031 </tr>
1032 <tr valign='top'>
1033 <td>
1034 <p align='center'>PIP Flexion all fingers</p>
1035 </td>
1036 <td>
1037 <p align='center'><b>0-100°</b></p>
1038 </td>
1039 <td>
1040 <p align='center'><?php echo $data['r4_4_rt_active']?>&nbsp;</p>
1041 </td>
1042 <td>
1043 <p align='center'><?php echo $data['r4_4_rt_passive']?>&nbsp;</p>
1044 </td>
1045 <td>
1046 <p align='center'><?php echo $data['r4_4_lf_active']?>&nbsp;</p>
1047 </td>
1048 <td>
1049 <p align='center'><?php echo $data['r4_4_lf_passive']?>&nbsp;</p>
1050 </td>
1051 </tr>
1052 <tr valign='top'>
1053 <td>
1054 <p align='center'>PIP extension</p>
1055 </td>
1056 <td>
1057 <p align='center'><b>0°</b></p>
1058 </td>
1059 <td>
1060 <p align='center'><?php echo $data['r4_5_rt_active']?>&nbsp;</p>
1061 </td>
1062 <td>
1063 <p align='center'><?php echo $data['r4_5_rt_passive']?>&nbsp;</p>
1064 </td>
1065 <td>
1066 <p align='center'><?php echo $data['r4_5_lf_active']?>&nbsp;</p>
1067 </td>
1068 <td>
1069 <p align='center'><?php echo $data['r4_5_lf_passive']?>&nbsp;</p>
1070 </td>
1071 </tr>
1072 <tr valign='top'>
1073 <td>
1074 <p align='center'>DIP flexion</p>
1075 </td>
1076 <td>
1077 <p align='center'><b>0-70°</b></p>
1078 </td>
1079 <td>
1080 <p align='center'><?php echo $data['r4_6_rt_active']?>&nbsp;</p>
1081 </td>
1082 <td>
1083 <p align='center'><?php echo $data['r4_6_rt_passive']?>&nbsp;</p>
1084 </td>
1085 <td>
1086 <p align='center'><?php echo $data['r4_6_lf_active']?>&nbsp;</p>
1087 </td>
1088 <td>
1089 <p align='center'><?php echo $data['r4_6_lf_passive']?>&nbsp;</p>
1090 </td>
1091 </tr>
1092 <tr valign='top'>
1093 <td>
1094 <p align='center'>DIP extension</p>
1095 </td>
1096 <td>
1097 <p align='center'><b>0°</b></p>
1098 </td>
1099 <td>
1100 <p align='center'><?php echo $data['r4_7_rt_active']?>&nbsp;</p>
1101 </td>
1102 <td>
1103 <p align='center'><?php echo $data['r4_7_rt_passive']?>&nbsp;</p>
1104 </td>
1105 <td>
1106 <p align='center'><?php echo $data['r4_7_lf_active']?>&nbsp;</p>
1107 </td>
1108 <td>
1109 <p align='center'><?php echo $data['r4_7_lf_passive']?>&nbsp;</p>
1110 </td>
1111 </tr>
1112 </tbody></table>
1113 <?php if ($data['notes'] != '') {?>
1114 </p>
1115 <table border='0' cellpadding='0' cellspacing='0' class='text'>
1116 <tr class='text'>
1117 <td><b>NOTES</b></td>
1118 </tr>
1119 <tr class='text'>
1120 <td><p align='left'><?php echo $data['notes']?>&nbsp;</p></td>
1121 </tr>
1122 </table>
1123 <?php } ?>
1125 <?php