Abnormal Involuntary Movement Scale Page 3

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ABNORMAL INVOLUNTARY MOVEMENT SCALE (AIMS)
PATIENT'S NAME:
DATE:
HOSPITAL NUMBER:
RATER:
INITIAL AIMS ASSESSMENT AT MSH
AIMS RE-ASSESSMENT – DATE OF LAST ASSESSMENT
INSTRUCTIONS: Complete Examination Procedure (reverse side) before
CODES
making ratings.
0 = None
1 = Minimal, may be extreme, normal
Movement ratings:
2 = Mild
Rate highest severity observed.
3 = Moderate
Rate movements that occur upon activation one less than
4 = Severe
those observed spontaneously.
CIRCLE ONE
FACIAL
1. Muscles of Facial Expression
AND
e.g., Movements of forehead, eyebrows, peri-orbital area, cheeks,
include frowning, blinking, smiling, grimacing
0
1
2
3
4
ORAL
2. Lips and Peri-oral Area
e.g., puckering, pouting, smacking
0
1
2
3
4
MOVEMENTS
3. Jaws
e.g., biting, clenching, chewing, mouth opening, lateral movement
0
1
2
3
4
4. Tongue
Rate only increase in movement both in and out of mouth, NOT
inability to sustain movement
0
1
2
3
4
5. Upper (arms, wrists, hands, fingers)
Include choreic movements (i.e., rapid objectively, purposeless,
irregular spontaneous), athetoid movements
EXTREMITY
(i.e., slow, irregular, complex, serpentine)
Do NOT include tremor (i.e., repetitive, regular, rhythmic)
0
1
2
3
4
6. Lower (legs, knees, ankles, toes)
MOVEMENTS
e.g., lateral knee movement, foot tapping, heel dropping, foot
squirming, inversion and eversion of foot
0
1
2
3
4
TRUNK
7. Back, shoulders, hips
e.g., rocking, twisting, squirming, pelvic gyrations
MOVEMENTS
0
1
2
3
4
8. Severity of abnormal movements
None, Normal …0
Mild ………….2
Severe
Minimal ………...1
Moderate …...3
….4
GLOBAL
None, Normal …0
Mild ………….2
Severe
9. Incapacitation due to abnormal
Minimal ………...1
Moderate …...3
….4
movements
JUDGMENTS
No Awareness …………..0
Aware, No distress …...…1
10. Patient's awareness of abnormal
Aware, Mild distress …….2
Aware, Severe distress …4
movements
RATE ONLY PATIENT'S
REPORT
11. Current problems with teeth and/or dentures
No..………..0
Yes …………1
DENTAL
12. Does patient usually wear dentures?
No..………..0
Yes …………1
STATUS
MSH-NS-20-99

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