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EZ-PCE Software
Updated 6-2-02
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EZ-PCE
Instructions
Patient Information
LetterHead
Patient Name:
Test Date:
Doctor:
Age:
Male
Female
Right Handed
Left Handed
Physical Capacity Evaluations:
Baseline Exam
Follow Up Exam
Final Exam
Range of Motions:
Normal Values
(3 Spine)
Florida WC
Spine
Upper Extremities
Lower Extremities
Muscle Testing
lbs.
Kg.
Grade
Spine
Upper Extremities
Lower Extremities
Custom
NIOSH Lifting Task
Pinch & Grip
W/5 Position Bell Curve
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