fix: webroot attr editing insurance company from practice settings 404 not found...
[openemr.git] / contrib / forms / rom / report.php
blob0110b61956fb4b1eacb052e74a1cbaf370529be0
1 <?php
3 // Copyright (C) 2009 Aron Racho <aron@mi-squared.com>
4 //
5 // This program is free software; you can redistribute it and/or
6 // modify it under the terms of the GNU General Public License
7 // as published by the Free Software Foundation; either version 2
8 //------------Forms generated from formsWiz
9 require_once("../../globals.php");
10 require_once($GLOBALS["srcdir"] . "/api.inc.php");
11 function rom_report($pid, $encounter, $cols, $id)
13 $count = 0;
14 $data = formFetch("form_rom", $id);
15 if ($data) {
18 <table border='1' bordercolor='#000000' cellpadding='7' cellspacing='0' class='text'>
19 <col>
20 <col>
21 <col>
22 <col>
23 <tbody>
25 <tr valign='top'>
26 <td colspan='4'>
27 <p align='left'><b>Neck</b></p>
28 </td>
29 </tr>
30 <tr valign='top'>
31 <td>
32 <p align='center'>&nbsp;</p>
33 </td>
34 <td>
35 <p align='center'><b>NORMAL</b></p>
36 </td>
37 <td>
38 <p align='center'><b>ACTIVE</b></p>
39 </td>
40 <td>
41 <p align='center'><b>PASSIVE</b></p>
42 </td>
43 </tr>
45 <tr valign='top'>
46 <td>
47 <p align='center'>Flexion</p>
48 </td>
49 <td>
50 <p align='center'><b>0-50°</b></p>
51 </td>
52 <td>
53 <p align='center'><?php echo text($data['r1_1_active']); ?>&nbsp;</p>
54 </td>
55 <td>
56 <p align='center'><?php echo text($data['r1_1_passive']); ?>&nbsp;</p>
57 </td>
58 </tr>
60 <tr valign='top'>
61 <td>
62 <p align='center'>Extension</p>
63 </td>
64 <td>
65 <p align='center'><b>0-60°</b></p>
66 </td>
67 <td>
68 <p align='center'><?php echo text($data['r1_2_active']); ?>&nbsp;</p>
69 </td>
70 <td>
71 <p align='center'><?php echo text($data['r1_2_passive']); ?>&nbsp;</p>
72 </td>
73 </tr>
75 <tr valign='top'>
76 <td>
77 <p align='center'>Right Lateral Bending</p>
78 </td>
79 <td>
80 <p align='center'><b>0-45°</b></p>
81 </td>
82 <td>
83 <p align='center'><?php echo text($data['r1_3_active']); ?>&nbsp;</p>
84 </td>
85 <td>
86 <p align='center'><?php echo text($data['r1_3_passive']); ?>&nbsp;</p>
87 </td>
88 </tr>
90 <tr valign='top'>
91 <td>
92 <p align='center'>Left Lateral Bending</p>
93 </td>
94 <td>
95 <p align='center'><b>0-45°</b></p>
96 </td>
97 <td>
98 <p align='center'><?php echo text($data['r1_4_active']); ?>&nbsp;</p>
99 </td>
100 <td>
101 <p align='center'><?php echo text($data['r1_4_passive']); ?>&nbsp;</p>
102 </td>
103 </tr>
105 <tr valign='top'>
106 <td>
107 <p align='center'>Right Rotation</p>
108 </td>
109 <td>
110 <p align='center'><b>0-80°</b></p>
111 </td>
112 <td>
113 <p align='center'><?php echo text($data['r1_5_active']); ?>&nbsp;</p>
114 </td>
115 <td>
116 <p align='center'><?php echo text($data['r1_5_passive']); ?>&nbsp;</p>
117 </td>
118 </tr>
120 <tr valign='top'>
121 <td>
122 <p align='center'>Left Rotation</p>
123 </td>
124 <td>
125 <p align='center'><b>0-80°</b></p>
126 </td>
127 <td>
128 <p align='center'><?php echo text($data['r1_6_active']); ?>&nbsp;</p>
129 </td>
130 <td>
131 <p align='center'><?php echo text($data['r1_6_passive']); ?>&nbsp;</p>
132 </td>
133 </tr>
135 <tr valign='top'>
136 <td colspan='4'>
137 <p align='left'><b>Back</b></p>
138 </td>
139 </tr>
140 <tr valign='top'>
141 <td>
142 <p align='center'>&nbsp;</p>
143 </td>
144 <td>
145 <p align='center'><b>NORMAL</b></p>
146 </td>
147 <td>
148 <p align='center'><b>ACTIVE</b></p>
149 </td>
150 <td>
151 <p align='center'><b>PASSIVE</b></p>
152 </td>
153 </tr>
155 <tr valign='top'>
156 <td>
157 <p align='center'>Flexion</p>
158 </td>
159 <td>
160 <p align='center'><b>0-90°</b></p>
161 </td>
162 <td>
163 <p align='center'><?php echo text($data['r1_7_active']); ?>&nbsp;</p>
164 </td>
165 <td>
166 <p align='center'><?php echo text($data['r1_7_passive']); ?>&nbsp;</p>
167 </td>
168 </tr>
170 <tr valign='top'>
171 <td>
172 <p align='center'>Extension</p>
173 </td>
174 <td>
175 <p align='center'><b>0-25°</b></p>
176 </td>
177 <td>
178 <p align='center'><?php echo text($data['r1_8_active']); ?>&nbsp;</p>
179 </td>
180 <td>
181 <p align='center'><?php echo text($data['r1_8_passive']); ?>&nbsp;</p>
182 </td>
183 </tr>
185 <tr valign='top'>
186 <td>
187 <p align='center'>Right Lateral Bending</p>
188 </td>
189 <td>
190 <p align='center'><b>0-25°</b></p>
191 </td>
192 <td>
193 <p align='center'><?php echo text($data['r1_9_active']); ?>&nbsp;</p>
194 </td>
195 <td>
196 <p align='center'><?php echo text($data['r1_9_passive']); ?>&nbsp;</p>
197 </td>
198 </tr>
200 <tr valign='top'>
201 <td>
202 <p align='center'>Left Lateral Bending</p>
203 </td>
204 <td>
205 <p align='center'><b>0-25°</b></p>
206 </td>
207 <td>
208 <p align='center'><?php echo text($data['r1_10_active']); ?>&nbsp;</p>
209 </td>
210 <td>
211 <p align='center'><?php echo text($data['r1_10_passive']); ?>&nbsp;</p>
212 </td>
213 </tr>
215 <tr valign='top'>
216 <td>
217 <p align='center'>Right Lateral Rotation</p>
218 </td>
219 <td>
220 <p align='center'><b>0-30°</b></p>
221 </td>
222 <td>
223 <p align='center'><?php echo text($data['r1_11_active']); ?>&nbsp;</p>
224 </td>
225 <td>
226 <p align='center'><?php echo text($data['r1_11_passive']); ?>&nbsp;</p>
227 </td>
228 </tr>
230 <tr valign='top'>
231 <td>
232 <p align='center'>Left Lateral Rotation</p>
233 </td>
234 <td>
235 <p align='center'><b>0-30°</b></p>
236 </td>
237 <td>
238 <p align='center'><?php echo text($data['r1_12_active']); ?>&nbsp;</p>
239 </td>
240 <td>
241 <p align='center'><?php echo text($data['r1_12_passive']); ?>&nbsp;</p>
242 </td>
243 </tr>
244 </tbody></table>
245 </p>
246 <table border='1' bordercolor='#000000' cellpadding='7' cellspacing='0' class='text'>
247 <col>
248 <col>
249 <col>
250 <col>
251 <col>
252 <col>
253 <tr valign='top'>
254 <td>
255 <p align='center'>Straight Leg Raising (supine)</p>
256 </td>
257 <td>
258 <p align='center'><b>0-90°</b></p>
259 </td>
260 <td>
261 <p align='center'><?php echo text($data['r2_1_rt_active']); ?>&nbsp;</p>
262 </td>
263 <td>
264 <p align='center'><?php echo text($data['r2_1_rt_passive']); ?>&nbsp;</p>
265 </td>
266 <td>
267 <p align='center'><?php echo text($data['r2_1_lf_active']); ?>&nbsp;</p>
268 </td>
269 <td>
270 <p align='center'><?php echo text($data['r2_1_lf_passive']); ?>&nbsp;</p>
271 </td>
272 </tr>
273 <tr valign='top'>
274 <td>
275 <p align='center'>Straight Leg Raising (sitting)</p>
276 </td>
277 <td>
278 <p align='center'><b>0-90°</b></p>
279 </td>
280 <td>
281 <p align='center'><?php echo text($data['r2_2_rt_active']); ?>&nbsp;</p>
282 </td>
283 <td>
284 <p align='center'><?php echo text($data['r2_2_rt_passive']); ?>&nbsp;</p>
285 </td>
286 <td>
287 <p align='center'><?php echo text($data['r2_2_lf_active']); ?>&nbsp;</p>
288 </td>
289 <td>
290 <p align='center'><?php echo text($data['r2_2_lf_passive']); ?>&nbsp;</p>
291 </td>
292 </tr>
294 <tr valign='top'>
295 <td colspan='6'>
296 <p align='left'><b>Shoulder</b></p>
297 </td>
298 </tr>
299 <tr valign='top'>
300 <td>
301 <p align='center'>&nbsp;</b></p>
302 </td>
303 <td>
304 <p align='center'><b>NORMAL</b></p>
305 </td>
306 <td>
307 <p align='center'><b>(R) Active</b></p>
308 </td>
309 <td>
310 <p align='center'><b>(R) Passive</b></p>
311 </td>
312 <td>
313 <p align='center'><b>(L) Active</b></p>
314 </td>
315 <td>
316 <p align='center'><b>(L) Passive</b></p>
317 </td>
318 </tr>
319 <tr valign='top'>
320 <td>
321 <p align='center'>Abduction</p>
322 </td>
323 <td>
324 <p align='center'><b>0-150°</b></p>
325 </td>
326 <td>
327 <p align='center'><?php echo text($data['r2_3_rt_active']); ?>&nbsp;</p>
328 </td>
329 <td>
330 <p align='center'><?php echo text($data['r2_3_rt_passive']); ?>&nbsp;</p>
331 </td>
332 <td>
333 <p align='center'><?php echo text($data['r2_3_lf_active']); ?>&nbsp;</p>
334 </td>
335 <td>
336 <p align='center'><?php echo text($data['r2_3_lf_passive']); ?>&nbsp;</p>
337 </td>
338 </tr>
339 <tr valign='top'>
340 <td>
341 <p align='center'>Forward Elevation</p>
342 </td>
343 <td>
344 <p align='center'><b>0-150°</b></p>
345 </td>
346 <td>
347 <p align='center'><?php echo text($data['r2_4_rt_active']); ?>&nbsp;</p>
348 </td>
349 <td>
350 <p align='center'><?php echo text($data['r2_4_rt_passive']); ?>&nbsp;</p>
351 </td>
352 <td>
353 <p align='center'><?php echo text($data['r2_4_lf_active']); ?>&nbsp;</p>
354 </td>
355 <td>
356 <p align='center'><?php echo text($data['r2_4_lf_passive']); ?>&nbsp;</p>
357 </td>
358 </tr>
359 <tr valign='top'>
360 <td>
361 <p align='center'>Internal Rotation</p>
362 </td>
363 <td>
364 <p align='center'><b>0-80°</b></p>
365 </td>
366 <td>
367 <p align='center'><?php echo text($data['r2_5_rt_active']); ?>&nbsp;</p>
368 </td>
369 <td>
370 <p align='center'><?php echo text($data['r2_5_rt_passive']); ?>&nbsp;</p>
371 </td>
372 <td>
373 <p align='center'><?php echo text($data['r2_5_lf_active']); ?>&nbsp;</p>
374 </td>
375 <td>
376 <p align='center'><?php echo text($data['r2_5_lf_passive']); ?>&nbsp;</p>
377 </td>
378 </tr>
379 <tr valign='top'>
380 <td>
381 <p align='center'>External Rotation</p>
382 </td>
383 <td>
384 <p align='center'><b>0-90°</b></p>
385 </td>
386 <td>
387 <p align='center'><?php echo text($data['r2_6_rt_active']); ?>&nbsp;</p>
388 </td>
389 <td>
390 <p align='center'><?php echo text($data['r2_6_rt_passive']); ?>&nbsp;</p>
391 </td>
392 <td>
393 <p align='center'><?php echo text($data['r2_6_lf_active']); ?>&nbsp;</p>
394 </td>
395 <td>
396 <p align='center'><?php echo text($data['r2_6_lf_passive']); ?>&nbsp;</p>
397 </td>
398 </tr>
399 </tbody></table>
400 </p>
401 <table border='1' bordercolor='#000000' cellpadding='7' cellspacing='0' class='text'>
402 <col>
403 <col>
404 <col>
405 <col>
406 <col>
407 <col>
409 <tr valign='top'>
410 <td colspan='6'>
411 <p align='left'><b>Elbow and Forearm</b></p>
412 </td>
413 </tr>
414 <tr valign='top'>
415 <td>
416 <p align='center'>&nbsp;</b></p>
417 </td>
418 <td>
419 <p align='center'><b>NORMAL</b></p>
420 </td>
421 <td>
422 <p align='center'><b>(R) Active</b></p>
423 </td>
424 <td>
425 <p align='center'><b>(R) Passive</b></p>
426 </td>
427 <td>
428 <p align='center'><b>(L) Active</b></p>
429 </td>
430 <td>
431 <p align='center'><b>(L) Passive</b></p>
432 </td>
433 </tr>
434 <tr valign='top'>
435 <td>
436 <p align='center'>Flexion</p>
437 </td>
438 <td>
439 <p align='center'><b>0-150°</b></p>
440 </td>
441 <td>
442 <p align='center'><?php echo text($data['r3_1_rt_active']); ?>&nbsp;</p>
443 </td>
444 <td>
445 <p align='center'><?php echo text($data['r3_1_rt_passive']); ?>&nbsp;</p>
446 </td>
447 <td>
448 <p align='center'><?php echo text($data['r3_1_lf_active']); ?>&nbsp;</p>
449 </td>
450 <td>
451 <p align='center'><?php echo text($data['r3_1_lf_passive']); ?>&nbsp;</p>
452 </td>
453 </tr>
454 <tr valign='top'>
455 <td>
456 <p align='center'>Extension</p>
457 </td>
458 <td>
459 <p align='center'><b>0°</b></p>
460 </td>
461 <td>
462 <p align='center'><?php echo text($data['r3_2_rt_active']); ?>&nbsp;</p>
463 </td>
464 <td>
465 <p align='center'><?php echo text($data['r3_2_rt_passive']); ?>&nbsp;</p>
466 </td>
467 <td>
468 <p align='center'><?php echo text($data['r3_2_lf_active']); ?>&nbsp;</p>
469 </td>
470 <td>
471 <p align='center'><?php echo text($data['r3_2_lf_passive']); ?>&nbsp;</p>
472 </td>
473 </tr>
474 <tr valign='top'>
475 <td>
476 <p align='center'>Supination</p>
477 </td>
478 <td>
479 <p align='center'><b>0-80°</b></p>
480 </td>
481 <td>
482 <p align='center'><?php echo text($data['r3_3_rt_active']); ?>&nbsp;</p>
483 </td>
484 <td>
485 <p align='center'><?php echo text($data['r3_3_rt_passive']); ?>&nbsp;</p>
486 </td>
487 <td>
488 <p align='center'><?php echo text($data['r3_3_lf_active']); ?>&nbsp;</p>
489 </td>
490 <td>
491 <p align='center'><?php echo text($data['r3_3_lf_passive']); ?>&nbsp;</p>
492 </td>
493 </tr>
494 <tr valign='top'>
495 <td>
496 <p align='center'>Pronation</p>
497 </td>
498 <td>
499 <p align='center'><b>0-80°</b></p>
500 </td>
501 <td>
502 <p align='center'><?php echo text($data['r3_4_rt_active']); ?>&nbsp;</p>
503 </td>
504 <td>
505 <p align='center'><?php echo text($data['r3_4_rt_passive']); ?>&nbsp;</p>
506 </td>
507 <td>
508 <p align='center'><?php echo text($data['r3_4_lf_active']); ?>&nbsp;</p>
509 </td>
510 <td>
511 <p align='center'><?php echo text($data['r3_4_lf_passive']); ?>&nbsp;</p>
512 </td>
513 </tr>
515 <tr valign='top'>
516 <td colspan='6'>
517 <p align='left'><b>Wrist</b></p>
518 </td>
519 </tr>
520 <tr valign='top'>
521 <td>
522 <p align='center'>&nbsp;</b></p>
523 </td>
524 <td>
525 <p align='center'><b>NORMAL</b></p>
526 </td>
527 <td>
528 <p align='center'><b>(R) Active</b></p>
529 </td>
530 <td>
531 <p align='center'><b>(R) Passive</b></p>
532 </td>
533 <td>
534 <p align='center'><b>(L) Active</b></p>
535 </td>
536 <td>
537 <p align='center'><b>(L) Passive</b></p>
538 </td>
539 </tr>
540 <tr valign='top'>
541 <td>
542 <p align='center'>Dorsiflexion</p>
543 </td>
544 <td>
545 <p align='center'><b>0-60°</b></p>
546 </td>
547 <td>
548 <p align='center'><?php echo text($data['r3_5_rt_active']); ?>&nbsp;</p>
549 </td>
550 <td>
551 <p align='center'><?php echo text($data['r3_5_rt_passive']); ?>&nbsp;</p>
552 </td>
553 <td>
554 <p align='center'><?php echo text($data['r3_5_lf_active']); ?>&nbsp;</p>
555 </td>
556 <td>
557 <p align='center'><?php echo text($data['r3_5_lf_passive']); ?>&nbsp;</p>
558 </td>
559 </tr>
560 <tr valign='top'>
561 <td>
562 <p align='center'>Palmar Flexion</p>
563 </td>
564 <td>
565 <p align='center'><b>0-60°</b></p>
566 </td>
567 <td>
568 <p align='center'><?php echo text($data['r3_6_rt_active']); ?>&nbsp;</p>
569 </td>
570 <td>
571 <p align='center'><?php echo text($data['r3_6_rt_passive']); ?>&nbsp;</p>
572 </td>
573 <td>
574 <p align='center'><?php echo text($data['r3_6_lf_active']); ?>&nbsp;</p>
575 </td>
576 <td>
577 <p align='center'><?php echo text($data['r3_6_lf_passive']); ?>&nbsp;</p>
578 </td>
579 </tr>
580 <tr valign='top'>
581 <td>
582 <p align='center'>Radial Deviation</p>
583 </td>
584 <td>
585 <p align='center'><b>0-20°</b></p>
586 </td>
587 <td>
588 <p align='center'><?php echo text($data['r3_7_rt_active']); ?>&nbsp;</p>
589 </td>
590 <td>
591 <p align='center'><?php echo text($data['r3_7_rt_passive']); ?>&nbsp;</p>
592 </td>
593 <td>
594 <p align='center'><?php echo text($data['r3_7_lf_active']); ?>&nbsp;</p>
595 </td>
596 <td>
597 <p align='center'><?php echo text($data['r3_7_lf_passive']); ?>&nbsp;</p>
598 </td>
599 </tr>
600 <tr valign='top'>
601 <td>
602 <p align='center'>Ulnar Deviation</p>
603 </td>
604 <td>
605 <p align='center'><b>0-30°</b></p>
606 </td>
607 <td>
608 <p align='center'><?php echo text($data['r3_8_rt_active']); ?>&nbsp;</p>
609 </td>
610 <td>
611 <p align='center'><?php echo text($data['r3_8_rt_passive']); ?>&nbsp;</p>
612 </td>
613 <td>
614 <p align='center'><?php echo text($data['r3_8_lf_active']); ?>&nbsp;</p>
615 </td>
616 <td>
617 <p align='center'><?php echo text($data['r3_8_lf_passive']); ?>&nbsp;</p>
618 </td>
619 </tr>
621 <tr valign='top'>
622 <td colspan='6'>
623 <p align='left'><b>Hip</b></p>
624 </td>
625 </tr>
626 <tr valign='top'>
627 <td>
628 <p align='center'>&nbsp;</b></p>
629 </td>
630 <td>
631 <p align='center'><b>NORMAL</b></p>
632 </td>
633 <td>
634 <p align='center'><b>(R) Active</b></p>
635 </td>
636 <td>
637 <p align='center'><b>(R) Passive</b></p>
638 </td>
639 <td>
640 <p align='center'><b>(L) Active</b></p>
641 </td>
642 <td>
643 <p align='center'><b>(L) Passive</b></p>
644 </td>
645 </tr>
646 <tr valign='top'>
647 <td>
648 <p align='center'>Abduction</p>
649 </td>
650 <td>
651 <p align='center'><b>0-40°</b></p>
652 </td>
653 <td>
654 <p align='center'><?php echo text($data['r3_9_rt_active']); ?>&nbsp;</p>
655 </td>
656 <td>
657 <p align='center'><?php echo text($data['r3_9_rt_passive']); ?>&nbsp;</p>
658 </td>
659 <td>
660 <p align='center'><?php echo text($data['r3_9_lf_active']); ?>&nbsp;</p>
661 </td>
662 <td>
663 <p align='center'><?php echo text($data['r3_9_lf_passive']); ?>&nbsp;</p>
664 </td>
665 </tr>
666 <tr valign='top'>
667 <td>
668 <p align='center'>Adduction</p>
669 </td>
670 <td>
671 <p align='center'><b>0-20°</b></p>
672 </td>
673 <td>
674 <p align='center'><?php echo text($data['r3_10_rt_active']); ?>&nbsp;</p>
675 </td>
676 <td>
677 <p align='center'><?php echo text($data['r3_10_rt_passive']); ?>&nbsp;</p>
678 </td>
679 <td>
680 <p align='center'><?php echo text($data['r3_10_lf_active']); ?>&nbsp;</p>
681 </td>
682 <td>
683 <p align='center'><?php echo text($data['r3_10_lf_passive']); ?>&nbsp;</p>
684 </td>
685 </tr>
686 <tr valign='top'>
687 <td>
688 <p align='center'>Flexion</p>
689 </td>
690 <td>
691 <p align='center'><b>0-100°</b></p>
692 </td>
693 <td>
694 <p align='center'><?php echo text($data['r3_11_rt_active']); ?>&nbsp;</p>
695 </td>
696 <td>
697 <p align='center'><?php echo text($data['r3_11_rt_passive']); ?>&nbsp;</p>
698 </td>
699 <td>
700 <p align='center'><?php echo text($data['r3_11_lf_active']); ?>&nbsp;</p>
701 </td>
702 <td>
703 <p align='center'><?php echo text($data['r3_11_lf_passive']); ?>&nbsp;</p>
704 </td>
705 </tr>
706 <tr valign='top'>
707 <td>
708 <p align='center'>Extension</p>
709 </td>
710 <td>
711 <p align='center'><b>0-30°</b></p>
712 </td>
713 <td>
714 <p align='center'><?php echo text($data['r3_12_rt_active']); ?>&nbsp;</p>
715 </td>
716 <td>
717 <p align='center'><?php echo text($data['r3_12_rt_passive']); ?>&nbsp;</p>
718 </td>
719 <td>
720 <p align='center'><?php echo text($data['r3_12_lf_active']); ?>&nbsp;</p>
721 </td>
722 <td>
723 <p align='center'><?php echo text($data['r3_12_lf_passive']); ?>&nbsp;</p>
724 </td>
725 </tr>
726 <tr valign='top'>
727 <td>
728 <p align='center'>Internal Rotation</p>
729 </td>
730 <td>
731 <p align='center'><b>0-40°</b></p>
732 </td>
733 <td>
734 <p align='center'><?php echo text($data['r3_13_rt_active']); ?>&nbsp;</p>
735 </td>
736 <td>
737 <p align='center'><?php echo text($data['r3_13_rt_passive']); ?>&nbsp;</p>
738 </td>
739 <td>
740 <p align='center'><?php echo text($data['r3_13_lf_active']); ?>&nbsp;</p>
741 </td>
742 <td>
743 <p align='center'><?php echo text($data['r3_13_lf_passive']); ?>&nbsp;</p>
744 </td>
745 </tr>
746 <tr valign='top'>
747 <td>
748 <p align='center'>External Rotation</p>
749 </td>
750 <td>
751 <p align='center'><b>0-50°</b></p>
752 </td>
753 <td>
754 <p align='center'><?php echo text($data['r3_14_rt_active']); ?>&nbsp;</p>
755 </td>
756 <td>
757 <p align='center'><?php echo text($data['r3_14_rt_passive']); ?>&nbsp;</p>
758 </td>
759 <td>
760 <p align='center'><?php echo text($data['r3_14_lf_active']); ?>&nbsp;</p>
761 </td>
762 <td>
763 <p align='center'><?php echo text($data['r3_14_lf_passive']); ?>&nbsp;</p>
764 </td>
765 </tr>
767 <tr valign='top'>
768 <td colspan='6'>
769 <p align='left'><b>Knee</b></p>
770 </td>
771 </tr>
772 <tr valign='top'>
773 <td>
774 <p align='center'>&nbsp;</b></p>
775 </td>
776 <td>
777 <p align='center'><b>NORMAL</b></p>
778 </td>
779 <td>
780 <p align='center'><b>(R) Active</b></p>
781 </td>
782 <td>
783 <p align='center'><b>(R) Passive</b></p>
784 </td>
785 <td>
786 <p align='center'><b>(L) Active</b></p>
787 </td>
788 <td>
789 <p align='center'><b>(L) Passive</b></p>
790 </td>
791 </tr>
792 <tr valign='top'>
793 <td>
794 <p align='center'>Flexion</p>
795 </td>
796 <td>
797 <p align='center'><b>0-150°</b></p>
798 </td>
799 <td>
800 <p align='center'><?php echo text($data['r3_15_rt_active']); ?>&nbsp;</p>
801 </td>
802 <td>
803 <p align='center'><?php echo text($data['r3_15_rt_passive']); ?>&nbsp;</p>
804 </td>
805 <td>
806 <p align='center'><?php echo text($data['r3_15_lf_active']); ?>&nbsp;</p>
807 </td>
808 <td>
809 <p align='center'><?php echo text($data['r3_15_lf_passive']); ?>&nbsp;</p>
810 </td>
811 </tr>
812 <tr valign='top'>
813 <td>
814 <p align='center'>Extension</p>
815 </td>
816 <td>
817 <p align='center'><b>0°</b></p>
818 </td>
819 <td>
820 <p align='center'><?php echo text($data['r3_16_rt_active']); ?>&nbsp;</p>
821 </td>
822 <td>
823 <p align='center'><?php echo text($data['r3_16_rt_passive']); ?>&nbsp;</p>
824 </td>
825 <td>
826 <p align='center'><?php echo text($data['r3_16_lf_active']); ?>&nbsp;</p>
827 </td>
828 <td>
829 <p align='center'><?php echo text($data['r3_16_lf_passive']); ?>&nbsp;</p>
830 </td>
831 </tr>
833 <tr valign='top'>
834 <td colspan='6'>
835 <p align='left'><b>Ankle and Foot</b></p>
836 </td>
837 </tr>
838 <tr valign='top'>
839 <td>
840 <p align='center'>&nbsp;</b></p>
841 </td>
842 <td>
843 <p align='center'><b>NORMAL</b></p>
844 </td>
845 <td>
846 <p align='center'><b>(R) Active</b></p>
847 </td>
848 <td>
849 <p align='center'><b>(R) Passive</b></p>
850 </td>
851 <td>
852 <p align='center'><b>(L) Active</b></p>
853 </td>
854 <td>
855 <p align='center'><b>(L) Passive</b></p>
856 </td>
857 </tr>
858 <tr valign='top'>
859 <td>
860 <p align='center'>Dorsiflexion</p>
861 </td>
862 <td>
863 <p align='center'><b>0-20°</b></p>
864 </td>
865 <td>
866 <p align='center'><?php echo text($data['r3_17_rt_active']); ?>&nbsp;</p>
867 </td>
868 <td>
869 <p align='center'><?php echo text($data['r3_17_rt_passive']); ?>&nbsp;</p>
870 </td>
871 <td>
872 <p align='center'><?php echo text($data['r3_17_lf_active']); ?>&nbsp;</p>
873 </td>
874 <td>
875 <p align='center'><?php echo text($data['r3_17_lf_passive']); ?>&nbsp;</p>
876 </td>
877 </tr>
878 <tr valign='top'>
879 <td>
880 <p align='center'>Plantar Flexion</p>
881 </td>
882 <td>
883 <p align='center'><b>0-40°</b></p>
884 </td>
885 <td>
886 <p align='center'><?php echo text($data['r3_18_rt_active']); ?>&nbsp;</p>
887 </td>
888 <td>
889 <p align='center'><?php echo text($data['r3_18_rt_passive']); ?>&nbsp;</p>
890 </td>
891 <td>
892 <p align='center'><?php echo text($data['r3_18_lf_active']); ?>&nbsp;</p>
893 </td>
894 <td>
895 <p align='center'><?php echo text($data['r3_18_lf_passive']); ?>&nbsp;</p>
896 </td>
897 </tr>
898 <tr valign='top'>
899 <td>
900 <p align='center'>Inversion</p>
901 </td>
902 <td>
903 <p align='center'><b>0-30°</b></p>
904 </td>
905 <td>
906 <p align='center'><?php echo text($data['r3_19_rt_active']); ?>&nbsp;</p>
907 </td>
908 <td>
909 <p align='center'><?php echo text($data['r3_19_rt_passive']); ?>&nbsp;</p>
910 </td>
911 <td>
912 <p align='center'><?php echo text($data['r3_19_lf_active']); ?>&nbsp;</p>
913 </td>
914 <td>
915 <p align='center'><?php echo text($data['r3_19_lf_passive']); ?>&nbsp;</p>
916 </td>
917 </tr>
918 <tr valign='top'>
919 <td>
920 <p align='center'>Eversion</p>
921 </td>
922 <td>
923 <p align='center'><b>0-20°</b></p>
924 </td>
925 <td>
926 <p align='center'><?php echo text($data['r3_20_rt_active']); ?>&nbsp;</p>
927 </td>
928 <td>
929 <p align='center'><?php echo text($data['r3_20_rt_passive']); ?>&nbsp;</p>
930 </td>
931 <td>
932 <p align='center'><?php echo text($data['r3_20_lf_active']); ?>&nbsp;</p>
933 </td>
934 <td>
935 <p align='center'><?php echo text($data['r3_20_lf_passive']); ?>&nbsp;</p>
936 </td>
937 </tr>
938 </tbody></table>
939 </p>
940 <table border='1' bordercolor='#000000' cellpadding='7' cellspacing='0' class='text'>
941 <col>
942 <col>
943 <col>
944 <col>
945 <col>
946 <col>
948 <tr valign='top'>
949 <td colspan='6'>
950 <p align='left'><b>Hands and Fingers</b></p>
951 </td>
952 </tr>
953 <tr valign='top'>
954 <td>
955 <p align='center'>&nbsp;</b></p>
956 </td>
957 <td>
958 <p align='center'><b>NORMAL</b></p>
959 </td>
960 <td>
961 <p align='center'><b>(R) Active</b></p>
962 </td>
963 <td>
964 <p align='center'><b>(R) Passive</b></p>
965 </td>
966 <td>
967 <p align='center'><b>(L) Active</b></p>
968 </td>
969 <td>
970 <p align='center'><b>(L) Passive</b></p>
971 </td>
972 </tr>
973 <tr valign='top'>
974 <td>
975 <p align='center'>MCP Flexion thumb</p>
976 </td>
977 <td>
978 <p align='center'><b>0-90°</b></p>
979 </td>
980 <td>
981 <p align='center'><?php echo text($data['r4_1_rt_active']); ?>&nbsp;</p>
982 </td>
983 <td>
984 <p align='center'><?php echo text($data['r4_1_rt_passive']); ?>&nbsp;</p>
985 </td>
986 <td>
987 <p align='center'><?php echo text($data['r4_1_lf_active']); ?>&nbsp;</p>
988 </td>
989 <td>
990 <p align='center'><?php echo text($data['r4_1_lf_passive']); ?>&nbsp;</p>
991 </td>
992 </tr>
993 <tr valign='top'>
994 <td>
995 <p align='center'>MCP flexion rest fingers</p>
996 </td>
997 <td>
998 <p align='center'><b>0-90</b></p>
999 </td>
1000 <td>
1001 <p align='center'><?php echo text($data['r4_2_rt_active']); ?>&nbsp;</p>
1002 </td>
1003 <td>
1004 <p align='center'><?php echo text($data['r4_2_rt_passive']); ?>&nbsp;</p>
1005 </td>
1006 <td>
1007 <p align='center'><?php echo text($data['r4_2_lf_active']); ?>&nbsp;</p>
1008 </td>
1009 <td>
1010 <p align='center'><?php echo text($data['r4_2_lf_passive']); ?>&nbsp;</p>
1011 </td>
1012 </tr>
1013 <tr valign='top'>
1014 <td>
1015 <p align='center'>MCP extension</p>
1016 </td>
1017 <td>
1018 <p align='center'><b>0°</b></p>
1019 </td>
1020 <td>
1021 <p align='center'><?php echo text($data['r4_3_rt_active']); ?>&nbsp;</p>
1022 </td>
1023 <td>
1024 <p align='center'><?php echo text($data['r4_3_rt_passive']); ?>&nbsp;</p>
1025 </td>
1026 <td>
1027 <p align='center'><?php echo text($data['r4_3_lf_active']); ?>&nbsp;</p>
1028 </td>
1029 <td>
1030 <p align='center'><?php echo text($data['r4_3_lf_passive']); ?>&nbsp;</p>
1031 </td>
1032 </tr>
1033 <tr valign='top'>
1034 <td>
1035 <p align='center'>PIP Flexion all fingers</p>
1036 </td>
1037 <td>
1038 <p align='center'><b>0-100°</b></p>
1039 </td>
1040 <td>
1041 <p align='center'><?php echo text($data['r4_4_rt_active']); ?>&nbsp;</p>
1042 </td>
1043 <td>
1044 <p align='center'><?php echo text($data['r4_4_rt_passive']); ?>&nbsp;</p>
1045 </td>
1046 <td>
1047 <p align='center'><?php echo text($data['r4_4_lf_active']); ?>&nbsp;</p>
1048 </td>
1049 <td>
1050 <p align='center'><?php echo text($data['r4_4_lf_passive']); ?>&nbsp;</p>
1051 </td>
1052 </tr>
1053 <tr valign='top'>
1054 <td>
1055 <p align='center'>PIP extension</p>
1056 </td>
1057 <td>
1058 <p align='center'><b>0°</b></p>
1059 </td>
1060 <td>
1061 <p align='center'><?php echo text($data['r4_5_rt_active']); ?>&nbsp;</p>
1062 </td>
1063 <td>
1064 <p align='center'><?php echo text($data['r4_5_rt_passive']); ?>&nbsp;</p>
1065 </td>
1066 <td>
1067 <p align='center'><?php echo text($data['r4_5_lf_active']); ?>&nbsp;</p>
1068 </td>
1069 <td>
1070 <p align='center'><?php echo text($data['r4_5_lf_passive']); ?>&nbsp;</p>
1071 </td>
1072 </tr>
1073 <tr valign='top'>
1074 <td>
1075 <p align='center'>DIP flexion</p>
1076 </td>
1077 <td>
1078 <p align='center'><b>0-70°</b></p>
1079 </td>
1080 <td>
1081 <p align='center'><?php echo text($data['r4_6_rt_active']); ?>&nbsp;</p>
1082 </td>
1083 <td>
1084 <p align='center'><?php echo text($data['r4_6_rt_passive']); ?>&nbsp;</p>
1085 </td>
1086 <td>
1087 <p align='center'><?php echo text($data['r4_6_lf_active']); ?>&nbsp;</p>
1088 </td>
1089 <td>
1090 <p align='center'><?php echo text($data['r4_6_lf_passive']); ?>&nbsp;</p>
1091 </td>
1092 </tr>
1093 <tr valign='top'>
1094 <td>
1095 <p align='center'>DIP extension</p>
1096 </td>
1097 <td>
1098 <p align='center'><b>0°</b></p>
1099 </td>
1100 <td>
1101 <p align='center'><?php echo text($data['r4_7_rt_active']); ?>&nbsp;</p>
1102 </td>
1103 <td>
1104 <p align='center'><?php echo text($data['r4_7_rt_passive']); ?>&nbsp;</p>
1105 </td>
1106 <td>
1107 <p align='center'><?php echo text($data['r4_7_lf_active']); ?>&nbsp;</p>
1108 </td>
1109 <td>
1110 <p align='center'><?php echo text($data['r4_7_lf_passive']); ?>&nbsp;</p>
1111 </td>
1112 </tr>
1113 </tbody></table>
1114 <?php if ($data['notes'] != '') {?>
1115 </p>
1116 <table border='0' cellpadding='0' cellspacing='0' class='text'>
1117 <tr class='text'>
1118 <td><b>NOTES</b></td>
1119 </tr>
1120 <tr class='text'>
1121 <td><p align='left'><?php echo text($data['notes']); ?>&nbsp;</p></td>
1122 </tr>
1123 </table>
1124 <?php } ?>
1126 <?php