AIMS: Abnormal Involuntary Movement Scale

**Admin** Fri Oct 31, 2014 9:20 pm

Abnormal Involuntary Movement Scale (AIMS)

Dr. Jay Pomerantz demonstrates each step of the AIMS procedure in this educational video:
http://brightcove.vo.llnwd.net/e1/uds/pd/10203567001/10203567001_2324667023001_Instructional-Video-For-AIMS-Scale.mp4

CODE:
0 = None
1 = Minimal, may be extreme normal
2 = Mild
3 = Moderate
4 - Severe

MOVEMENT RATINGS: Rate highest severity observed. Rate movements that occur upon activation one less than those observed
spontaneously.

Facial and Oral Movements	1. Muscles of Facial Expression e.g. movements of forehead, eyebrows periorbital area, cheeks, including frowning blinking, smiling, grimacing	0 1 2 3 4
	2. Lips and Perioral Area e.g., puckering, pouting, smacking	0 1 2 3 4
	3. Jaw e.g. biting, clenching, chewing, mouth opening, lateral movement	0 1 2 3 4
	4. Tongue Rate only increases in movement both in and out of mouth. NOT inability to sustain movement. Darting in and out of mouth.	0 1 2 3 4
Extremity Movements	5. Upper (arms, wrists,, hands, fingers) Include choreic movements (i.e., rapid, objectively purposeless, irregular, spontaneous) athetoid movements (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) e.g., lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot.	0 1 2 3 4
Trunk Movements	7. Neck, shoulders, hips e.g., rocking, twisting, squirming, pelvic gyrations	0 1 2 3 4
Global Judgments	8. Severity of abnormal movements overall	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 No awareness 0 Aware, no distress 1 Aware, mild distress 2 Aware, moderate distress 3 Aware, severe distress 4	0 1 2 3 4
Dental Status	11. Current problems with teeth and/or dentures	No Yes
	12. Are dentures usually worn?	No Yes
	13. Edentia?	No Yes
	14. Do movements disappear in sleep?	No Yes

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