Abnormal Involuntary Movement Scale Form PDF Details

Understanding the nuances and practical applications of the Abnormal Involuntary Movement Scale (AIMS) form is critical for health professionals working within the realms of Public Health Service, specifically under the Alcohol, Drug Abuse, and Mental Health Administration. Crafted by the National Institute of Mental Health, this comprehensive tool is instrumental in assessing abnormal involuntary movements, a common side effect among patients undergoing certain medical treatments or those afflicted with particular psychiatric conditions. The AIMS form meticulously outlines a rating system ranging from 0, indicating no abnormal movement, to 4, signifying severe involuntary movements. It covers a broad spectrum of physical manifestations, including facial expressions, movements of the tongue, upper and lower extremity movements, trunk movements, and even the impact these movements have on the patient's daily life and awareness. Furthermore, the form delves into components such as dental health, which may seem unrelated at first glance but can greatly influence or be affected by involuntary movements. As such, the AIMS form serves not merely as a diagnostic instrument but as a critical guide for determining the severity and impact of these movements, shaping treatment plans, and monitoring progression or remission over time. Its structured approach to evaluation ensures that healthcare providers can offer targeted and effective care to those in need.

QuestionAnswer
Form NameAbnormal Involuntary Movement Scale Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesaims test pdf, abnormal involuntary movement scale aims pdf, aims pdf, scale aims pdf

Form Preview Example

 

 

ABNORMAL INVOLUNTARY MOVEMENT SCALE (AIMS)

 

 

 

 

 

 

 

 

 

 

Public Health Service

 

NAME:__________________________________________

 

Alcohol, Drug Abuse, and Mental Health Administration

DATE: _____________________________

 

 

 

 

 

 

National Institute of Mental Health

 

Prescribing Practitioner: ___________________________

 

 

 

 

 

 

 

CODE:

0 = None

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 = Minimal, may be extreme normal

 

 

INSTRUCTIONS:

 

 

 

 

 

 

 

 

2 = Mild

 

 

 

 

 

 

 

 

 

 

 

 

Complete Examination Procedure (attachment d.)

 

 

 

 

 

 

3 = Moderate

 

 

 

 

 

 

 

 

 

 

before making ratings

 

 

 

 

 

 

 

4 - Severe

 

 

 

 

 

 

 

 

 

 

 

 

MOVEMENT RATINGS: Rate highest severity observed. Rate

RATER

 

 

RATER

 

RATER

 

RATER

 

movements that occur upon activation one less than those observed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

spontaneously. Circle movement as well as code number that

 

Date

 

 

 

 

Date

 

 

 

Date

 

 

 

Date

 

 

 

applies.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Facial and

1.

Muscles of Facial Expression

 

0 1 2 3 4

 

0 1 2 3 4

0 1 2 3 4

0 1 2 3 4

Oral

 

e.g. movements of forehead, eyebrows

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Movements

 

periorbital area, cheeks, including frowning

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

blinking, smiling, grimacing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Lips and Perioral Area

 

 

0 1 2 3 4

 

0 1 2 3 4

0 1 2 3 4

0 1 2 3

4

 

 

e.g., puckering, pouting, smacking

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Jaw e.g. biting, clenching, chewing, mouth

0

1

2

3

4

 

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

 

 

opening, lateral movement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Tongue Rate only increases in movement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

both in and out of mouth. NOT inability to

0 1 2 3 4

 

0 1 2 3 4

0 1 2 3

4

O 1 2 3 4

 

 

sustain movement. Darting in and out of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

mouth.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

Upper (arms, wrists,, hands, fingers)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Include choreic movements (i.e., rapid,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Extremity

 

objectively purposeless, irregular,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Movements

 

spontaneous) athetoid movements (i.e., slow,

0

1

2

3

4

 

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

 

 

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

0

1

2

3

4

 

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

 

 

eversion of foot.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trunk

7.

Neck, shoulders, hips e.g., rocking,

 

0

1 2

3 4

 

0

1 2

3 4

0

1 2

3 4

0

1 2

3 4

Movements

 

twisting, squirming, pelvic gyrations

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Severity of abnormal movements overall

0 1 2 3 4

 

0 1 2 3 4

0 1 2 3 4

0 1 2 3 4

Global

9.

Incapacitation due to abnormal

 

0 1 2 3 4

 

0 1 2 3 4

0 1 2 3 4

0 1 2 3 4

Judgments

 

movements

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.

Patient’s awareness of abnormal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

movements. Rate only patient’s report

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No awareness

0

 

0

 

 

 

 

 

0

 

 

 

 

0

 

 

 

 

0

 

 

 

 

 

 

Aware, no distress

1

 

 

1

 

 

 

 

 

1

 

 

 

 

1

 

 

 

 

1

 

 

 

 

 

Aware, mild distress

2

 

 

 

2

 

 

 

 

 

2

 

 

 

 

 

2

 

 

 

2

 

 

 

 

Aware, moderate distress

3

 

 

 

 

3

 

 

 

 

 

3

 

 

 

 

 

3

 

 

 

3

 

 

 

Aware, severe distress

4

 

 

 

 

 

4

 

 

 

 

 

4

 

 

 

 

4

 

 

 

 

4

 

11.

Current problems with teeth and/or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dental Status

 

dentures

 

 

No

 

Yes

 

No

 

Yes

No

 

Yes

No

 

Yes

 

 

 

 

 

No

 

Yes

 

No

 

Yes

No

 

Yes

No

 

Yes

 

12.

Are dentures usually worn?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

Yes

 

No

 

Yes

No

 

Yes

No

 

Yes

 

13.

Edentia?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

Yes

 

No

 

Yes

No

 

Yes

No

 

Yes

 

14.

Do movements disappear in sleep?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Final: 9/2000

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