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