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    Abnormal Involuntary Movement Scale (AIMS)

    Measures involuntary movements of tardive dyskinesia (TD).

    INSTRUCTIONS

    Rate highest severity observed. Rate movements that occur upon activation one less than those observed spontaneously.

    Complete the examination procedure prior to making ratings. Note that the total AIMS score is not reported to the patient.

    When to Use
    Pearls/Pitfalls

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    • Scoring is not linear.
    • Total score was not included in original literature but is widely utilized today.
    • Note: Inputs in Global Judgements section do not contribute to overall score.
    Facial and Oral Movements
    None
    0
    Minimal, may be extreme normal
    +1
    Mild
    +2
    Moderate
    +3
    Severe
    +4
    None
    0
    Minimal, may be extreme normal
    +1
    Mild
    +2
    Moderate
    +3
    Severe
    +4
    None
    0
    Minimal, may be extreme normal
    +1
    Mild
    +2
    Moderate
    +3
    Severe
    +4
    None
    0
    Minimal, may be extreme normal
    +1
    Mild
    +2
    Moderate
    +3
    Severe
    +4
    Extremity Movements
    None
    0
    Minimal, may be extreme normal
    +1
    Mild
    +2
    Moderate
    +3
    Severe
    +4
    None
    0
    Minimal, may be extreme normal
    +1
    Mild
    +2
    Moderate
    +3
    Severe
    +4
    Trunk Movements
    None
    0
    Minimal, may be extreme normal
    +1
    Mild
    +2
    Moderate
    +3
    Severe
    +4
    Global Judgements
    None
    Minimal, may be extreme normal
    Mild
    Moderate
    Severe
    None
    Minimal, may be extreme normal
    Mild
    Moderate
    Severe
    No awareness
    Aware, no distress
    Aware, mild distress
    Aware, moderate distress
    Aware, severe distress
    Dental Status
    No
    Yes
    No
    Yes
    No
    Yes
    Other
    No
    Yes

    Result:

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    Next Steps
    Evidence
    Creator Insights
    Dr. Ching-Piao Chien

    About the Creator

    Ching-Piao Chien, MD, was a professor in the Department of Psychiatry at Albany Medical College in Albany, New York. He played a key role in the founding of the Pacific Rim College of Psychiatrists in 1980. Dr. Chein’s primary research was focused on tardive dyskinesia.

    To view Dr. Ching-Piao Chien's publications, visit PubMed

    About the Creator
    Dr. Ching-Piao Chien