AIMS EXAM

Abnormal Involuntary Movement Scale
Date of Exam:

MonthDayYear
Date
Hour MinutesAM/PM Option
Patient Name:*

First NameLast Name
Date of Birth:*

MonthDayYear
FACIAL & ORAL MOVEMENTS
1. Muscles of Facial Expression e.g. movements of forehead, eyebrows, periorbital area, cheeks, including frowning, blinking, smiling, grimacing
2. Lips and Perioral Area e.g. puckering, pouting, smacking
3. Jaw Biting, clenching, chewing, mouth opening , lateral movement
4. Tongue Rate only increases in movement both in and out of mouth. NOT inability to sustain movement. Darting in and out of mouth
EXTREMITY MOVEMENTS
5. Upper (arms, wrists, hands, fingers) Include choreic movements (i.e. rapid objectively purposeless, irregular, spontaneous) athetoid movements. DO NOT INCLUDE TREMOR (i.e. repetitive, regular, rhythmic)
6. Lower (legs, knees, ankles, toes) Lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot
TRUNK MOVEMENTS
7. Neck, shoulders and hips Rocking, twisting, squirming, pelvic gyrations
GLOBAL JUDGEMENT
8. Severity of abnormal movements overall
9. Incapacitation due to abnormal movements
10. Patient’s awareness of abnormal movements. Rate only patients report: No Awareness = 0 Aware, no distress = 1 Aware, mild distress = 2 Aware, moderate distress = 3 Aware, severe distress = 4
DENTAL STATUS
11. Current problems with teeth and/or dentures*

YesNO
12. Are dentures usually worn*

YesNO
13. Endentia?*

YesNO
14. Do movements disappear with sleep?*

YesNON/A
Should be Empty:

Abnormal Involuntary Movement Scale

FACIAL & ORAL MOVEMENTS

EXTREMITY MOVEMENTS

TRUNK MOVEMENTS

GLOBAL JUDGEMENT

DENTAL STATUS