See It, Rate It: AIMS Video Quizzes

Would you count the movement(s) highlighted in the video toward this patient’s AIMS score?

Yes: The movements in the video are consistent with TD and should be rated on the AIMS.
No: The movements in the video are not consistent with TD and should not be rated on the AIMS.
Mixed presentation: Some movements should be rated on the AIMS and others should not.

CORRECT!

INCORRECT!

Correct Response:
Yes: The movements in the video are consistent with TD and should be rated on the AIMS.

Expert Faculty Commentary

Robert A. Hauser, MD, MBA, FAAN

Professor of Neurology

University of South Florida

Director
Parkinson’s Disease and Movement Disorders Center

Tampa, FL

This patient exhibits repetitive, patterned toe movements that would be characterized as stereotypy. Although they are rhythmic, the frequency is slow for tremor and the movements do not oscillate around a joint as tremor would. These movements are consistent with tardive dyskinesia and would be rated on the AIMS.

Jonathan M. Meyer, MD

Clinical Professor of Psychiatry

University of California

San Diego, CA

The repetitive “clenching” toe movements are somewhat rhythmic, but the frequency and manner of presentation are not consistent with a parkinsonian tremor; moreover, they do not appear to be manifestations of akathisia since the patient denies restlessness. These movements would be classified as stereotypies and are consistent with tardive dyskinesia and should be scored on the AIMS.

Richard M. Trosch, MD, FAAN

Associate Professor
Department of Neurology
Oakland University William Beaumont School of Medicine
Rochester, MI

This patient has repetitive, stereotypical toe movements (“piano-playing” toes) without any subjective restlessness. This is consistent with tardive dyskinesia and would be scored on the AIMS.

Screening

See It, Rate It: AIMS Video Quizzes — Introduction to TD Movement