Abnormal Involuntary Movement Scale (Aims) Form - Us Department Of Health

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A
I
M
S
(AIMS)
BNORMAL
NVOLUNTARY
OVEMENT
CALE
Patient’s Name
_____________________________________________
Patient’s ID information _______________________
(Please print)
Examiner’s Name ____________________________________________________________________________________________________
C
M
T
/D
URRENT
EDICATIONS AND
OTAL MG
AY
Medication #1 _______________________Total mg/Day _________
Medication #2 _______________________Total mg/Day _________
I
:
C
.
NSTRUCTIONS
OMPLETE THE EXAMINATION PROCEDURE BEFORE ENTERING THESE RATINGS
Facial and Oral Movements
■ ■
■ ■
■ ■
■ ■
■ ■
1. Muscles of Facial Expression eg, movements of forehead, eyebrows,
0
1
2
3
4
periorbital area, cheeks; include frowning, blinking, smiling, grimacing
■ ■
■ ■
■ ■
■ ■
■ ■
2. Lips and Perioral Area
0
1
2
3
4
eg, puckering, pouting, smacking
■ ■
■ ■
■ ■
■ ■
■ ■
3. Jaw eg, biting, clenching, chewing, mouth opening, lateral movement
0
1
2
3
4
■ ■
■ ■
■ ■
■ ■
■ ■
4. Tongue
0
1
2
3
4
Rate only increases in movement both in and out of mouth,
NOT inability to sustain movement
Extremity Movements
■ ■
■ ■
■ ■
■ ■
■ ■
5. Upper (arms, wrists, hands, fingers)
0
1
2
3
4
Include choreic movements (ie, rapid, objectively purposeless,
irregular, spontaneous); athetoid movements (ie, slow, irregular, complex,
serpentine). DO NOT include tremor (ie, repetitive, regular, rhythmic).
■ ■
■ ■
■ ■
■ ■
■ ■
6. Lower (legs, knees, ankles, toes)
0
1
2
3
4
eg, lateral knee movement, foot tapping, heel dropping, foot squirming,
inversion and eversion of foot
Trunk Movements
■ ■
■ ■
■ ■
■ ■
■ ■
7. Neck, shoulders, hips
0
1
2
3
4
eg, rocking, twisting, squirming, pelvic gyrations
SCORING:
• Score the highest amplitude or frequency in a movement on the 0-4 scale, not the average;
• Score Activated Movements the same way; do not lower those numbers as was proposed at one time;
• A POSITIVE AIMS EXAMINATION IS A SCORE OF 2 IN TWO OR MORE MOVEMENTS or
a SCORE OF 3 OR 4 IN A SINGLE MOVEMENT
• Do not sum the scores: e.g. a patient who has scores 1 in four movements DOES NOT have a positive AIMS score of 4.
Overall Severity
■ ■
■ ■
■ ■
■ ■
■ ■
8. Severity of abnormal movements
0
1
2
3
4
■ ■
■ ■
■ ■
■ ■
■ ■
9. Incapacitation due to abnormal movements
0
1
2
3
4
■ ■
■ ■
■ ■
■ ■
■ ■
10. Patient's awareness of abnormal movements (rate only patient's report)
0
1
2
3
4
Dental Status
■ ■
■ ■
11. Current problems with teeth and/or dentures?
■ ■
■ ■
12. Does patient usually wear dentures?
Comments: ________________________________________________________________________________________________________
Examiner's Signature ___________________________________________________________ Next Exam Date_______________________
Guy W: ECDEU Assessment Manual for Psychopharmacology - Revised (DHEW Publ No ADM 76-338), US Department of Health, Education, and Welfare; 1976

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