Abnormal Involuntary Movement Scale (Page 4 of 4) in pdf

Abnormal Involuntary Movement Scale Page 4

EXAMINATION PROCEDURE

Either before or after completing the Examination Procedure, observe the patient unobtrusively, at

rest (e.g., in the waiting room)

The chair to be used in this examination should be a hard, firm one without arms.

Ask the patient whether there is anything in his/her mouth (i.e., gum, candy, etc.) And if

there is, remove it.

Ask patient about the current condition of his/her teeth.

Ask patient if he/she wears dentures. Do teeth or dentures bother patient now?

As the patient whether he/she notices any movements in mouth, face, hands, or feet. If

yes, ask to describe and to what extent they currently bother patient or interfere with

his/her activities.

Have patient sit in chair with hands on knees, legs slightly apart, and feet flat on floor.

(Look at entire body for movements while in this position).

Ask patient to sit with hands hanging unsupported. If male, between legs; if female and

wearing a dress, hanging over knees. (Observe hands or other body areas).

Ask patient to open mouth. (Observe tongue at rest within mouth). Do this twice.

Ask patient to protrude tongue. (Observe abnormalities of tongue movement). Do this

twice.

Ask patient to tap thumb, with each finger as rapidly as possible for 10-15 seconds;

separately with right hand, then with left hand. (Observe facial and leg movements).

Flex and extend patient's left and right arms (one at a time). (Note any rigidity and rate

on NOTES).

10.

Ask patient to stand up. (Observe in profile. Observe all body areas again, hips

included).

11.

Ask patient to extend both arms outstretched in front with palms down. (Observe trunk,

legs, and mouth).

12.

Have patient walk a few paces, turn, and walk back to chair. (Observe hands and gait).

Do this twice.

* Activated movements

MSH-NS-20-99

Abnormal Involuntary Movement Scale Page 4