Patient Information

Instructions:

Complete examination procedure before entering these ratings.

CODE:

0 - None 1 - Minimal, may be extreme normal 2 - Mild 3 - Moderate 4 - Severe
MOVEMENT RATINGS: Rate highest severity observed. Do not follow the original AIMS instruction to subtract 1 point from movements seen only on activation.

Facial and Oral Movements

Muscles of facial expression
e.g. movements of forehead, eyebrows, periorbital area, cheeks, including, frowning, blinking, smiling, grimacing
Lips and perioral area
e.g. puckering, pouting, smacking
Jaw
e.g., biting, clenching, chewing, mouth opening, lateral movement
Tongue
Rate only increases in movement both in and out of mouth, NOT inability to sustain movement

Extremity Movements

Upper (arms, wrists, hands, fingers)

  • Include choreic movements (i.e., rapid, objectively purposeless, irregular, spontaneous) athetoid movements (i.e., slow, irregular, complex, serpentine). Do NOT include tremor (i.e., repetitive, regular, rhythmic)

Lower (legs, knees, ankles, toes)

  • e.g. lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot

Trunk Movements

Neck, shoulders, hips

  • e.g. rocking, twisting, squirming, pelvic gyrations

Global Judgements

  • Severity of abnormal movements

  • Incapacitation due to abnormal movements

  • Patient's awareness of abnormal movements

    Rate only patient's report:

Dental Status

  • Current problems with teeth and/or dentures?

  • Does patient usually wear dentures?

0

Points

Please make an appointment for this patient

AIMS Total Score Clinical Interpretation
0 No abnormal involuntary movements detected
1-6 Minimal abnormal movements - consider monitoring
7-12 Mild abnormal movements - consider dose reduction
13-18 Moderate abnormal movements - immediate intervention
≥19 Severe abnormal movements - urgent medical intervention
Clinical Notes:
  • Scores are based on questions 1-10 (Facial/Oral, Extremity, Trunk, and Global Judgements)
  • Dental status questions (11-12) are for clinical reference only
  • Consider medication review for scores ≥5