AIMS
Today's date: Time:
Patient's Initials: Patient Number:
Study Number: Rater's Initials:
ABNORMAL INVOLUNTARY MOVEMENT SCALE (AIMS) Movement Ratings: Rate highest severity observed.
NONE MINIMAL MILD MODERATE SEVERE NORMAL X-NORM
Facial and Oral Movements
1. Muscles of facial expression 0 1 2 3 4
2. Lips and perioral area 0 1 2 3 4
3. Jaw 0 1 2 3 4
4. Tongue 0 1 2 3 4
Extremity Movements
5. Upper 0 1 2 3 4
6. Lower 0 1 2 3 4
Trunk Movements
7. Neck, shoulders, hips 0 1 2 3 4
Global Judgement
8. Severity of abnormal movements 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 pts. report)
no awareness no distress mild distress moderate distress severe distress
0 1 2 3 4
Dental Status
11. Current problems with teeth and/or dentures? Yes No
12. Does patient usually wear dentures? Yes No