Aims Scale

ABNORMAL INVOLUNTARY MOVEMENTSCALE (AIMS)

Patient’s Name (Please print)

Patient’s ID information

Examiner’s Name

CURRENT MEDICATIONS AND TOTAL MG/DAY

Medication #1_Total mg/Day_ Medication #2_Total mg/Day_

INSTRUCTIONS: COMPLETE THE EXAMINATION PROCEDURE BEFORE ENTERING THESE RATINGS.

Facial and Oral Movements

1.Muscles of Facial Expression eg, movements of forehead, eyebrows, periorbital area, cheeks;

include frowning, blinking, smiling, grimacing

0 None, normal 1 Minimal (may be extreme normal) 2 Mild 3 Moderate 4 Severe

2.Lips and Perioral Area eg, puckering, pouting, smacking

0 None, normal 1 Minimal (may be extreme normal) 2 Mild 3 Moderate 4 Severe

3.Jaw eg, biting, clenching, chewing, mouth opening, lateral movement

0 None, normal 1 Minimal (may be extreme normal) 2 Mild 3 Moderate 4 Severe

4.Tongue Rate only increases in movement both in and out of mouth, NOT inability to sustain

movement

5. Extremity Movements

0 None, normal 1 Minimal (may be extreme normal) 2 Mild 3 Moderate 4 Severe 5.Upper (arms, wrists, hands, fingers) 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) eg, lateral knee movement, foot tapping, heel dropping, foot

squirming, inversion and eversion of foot

7. Trunk Movements

0 None, normal 1 Minimal (may be extreme normal) 2 Mild 3 Moderate 4 Severe

SCORING: Score the highest amplitude or frequency in a movement on the 0-4 scale, not the average;

Overall Severity

8.Severity of abnormal movements

0 No awareness 1 Aware, no distress 2 Aware, mild distress 3 Aware, moderate distress 4 Aware, severe distress■■

9.Incapacitation due to abnormal movements

0 No awareness 1 Aware, no distress 2 Aware, mild distress 3 Aware, moderate distress 4 Aware, severe distress■■

10.Patient’s awareness of abnormal movements (rate only patient’s report)

0 No awareness 1 Aware, no distress 2 Aware, mild distress 3 Aware, moderate distress 4 Aware, severe distress■■Dental Status

11.Current problems with teeth and/or dentures? Yes No

12.Does patient usually wear dentures? Yes■■ No■■

Comments:

Examiner’s Signature

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