Abnormal Involuntary Movement Scale (AIMS) Medical Form

I FACIAL & ORAL MOVEMENTS
1. Muscles of Facial Expression
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
2. Lips and Perioral Area
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
3. Jaw
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
4. Tongue
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
II EXTREMITY MOVEMENTS
5. Upper
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
6. Lower (legs, knees, ankles, toes)
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
III TRUNK MOVEMENTS
7. Neck, shoulders and hips
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
IV GLOBAL JUDGEMENT
8. Severity of abnormal movements overall
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
9. Incapacitation due to abnormal movements
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
10. Patient’s awareness of abnormal movements. Rate only patients report:
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
V DENTAL STATUS
11. Current problems with teeth and/or dentures
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
12. Are dentures usually worn
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
13. Endentia
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
14. Do movements disappear with sleep
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code
DATE	Code

Allows for multiple entries for carrying over previous results

There are 23 copies in use.
Published: Sept. 4, 2020, 10:10 p.m.
Doctor: Dr. History Physical
Rating: +10 /

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