Aims Test
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ABNORMAL INVOLUNTARY MOVEMENT SCALE (AIMS) Public Health Service Alcohol, Drug Abuse, and Mental Health Administration National Institute of Mental Health
NAME:__________________________________________ DATE: _____________________________ Prescribing Practitioner: ___________________________ CODE:
INSTRUCTIONS: Complete Examination Procedure (attachment d.) before making ratings MOVEMENT RATINGS: Rate highest severity observed. Rate movements that occur upon activation one less than those observed spontaneously. Circle movement as well as code number that applies. Facial and 1. Muscles of Facial Expression Oral e.g. movements of forehead, eyebrows Movements periorbital area, cheeks, including frowning blinking, smiling, grimacing 2. Lips and Perioral Area e.g., puckering, pouting, smacking 3. Jaw e.g. 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. 5. Upper (arms, wrists,, hands, fingers) Include choreic movements (i.e., rapid, objectively purposeless, irregular, Extremity spontaneous) athetoid movements (i.e., slow, Movements irregular, complex, serpentine). DO NOT INCLUDE TREMOR (i.e., repetitive, regular, rhythmic) 6. Lower (legs, knees, ankles, toes) e.g., lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot. 7. Neck, shoulders, hips e.g., rocking, Trunk twisting, squirming, pelvic gyrations Movements 8. Severity of abnormal movements overall Global 9. Incapacitation due to abnormal Judgments movements 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 11. Current problems with teeth and/or Dental Status dentures
0 = None 1 = Minimal, may be extreme normal 2 = Mild 3 = Moderate 4 - Severe RATER RATER RATER
RATER Date
Date
Date
Date
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
O 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4 0 1 2 3 4
0 1 2 3 4 0 1 2 3 4
0 1 2 3 4 0 1 2 3 4
0 1 2 3 4 0 1 2 3 4
0
0
0
0
4
4
4
4
3
3
3
3
2
2
2
2
1
1
1
1
No No
Yes Yes
No No
Yes Yes
No No
Yes Yes
No No
Yes Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
12. Are dentures usually worn? 13. Edentia? 14. Do movements disappear in sleep?
Final: 9/2000
NAME:__________________________________________ DATE: _____________________________ Prescribing Practitioner: ___________________________ CODE:
INSTRUCTIONS: Complete Examination Procedure (attachment d.) before making ratings MOVEMENT RATINGS: Rate highest severity observed. Rate movements that occur upon activation one less than those observed spontaneously. Circle movement as well as code number that applies. Facial and 1. Muscles of Facial Expression Oral e.g. movements of forehead, eyebrows Movements periorbital area, cheeks, including frowning blinking, smiling, grimacing 2. Lips and Perioral Area e.g., puckering, pouting, smacking 3. Jaw e.g. 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. 5. Upper (arms, wrists,, hands, fingers) Include choreic movements (i.e., rapid, objectively purposeless, irregular, Extremity spontaneous) athetoid movements (i.e., slow, Movements irregular, complex, serpentine). DO NOT INCLUDE TREMOR (i.e., repetitive, regular, rhythmic) 6. Lower (legs, knees, ankles, toes) e.g., lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot. 7. Neck, shoulders, hips e.g., rocking, Trunk twisting, squirming, pelvic gyrations Movements 8. Severity of abnormal movements overall Global 9. Incapacitation due to abnormal Judgments movements 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 11. Current problems with teeth and/or Dental Status dentures
0 = None 1 = Minimal, may be extreme normal 2 = Mild 3 = Moderate 4 - Severe RATER RATER RATER
RATER Date
Date
Date
Date
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
O 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4
0 1 2 3 4 0 1 2 3 4
0 1 2 3 4 0 1 2 3 4
0 1 2 3 4 0 1 2 3 4
0 1 2 3 4 0 1 2 3 4
0
0
0
0
4
4
4
4
3
3
3
3
2
2
2
2
1
1
1
1
No No
Yes Yes
No No
Yes Yes
No No
Yes Yes
No No
Yes Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
12. Are dentures usually worn? 13. Edentia? 14. Do movements disappear in sleep?
Final: 9/2000
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