Fully assessing a patient with suspected movement disorder

Involuntary movements of the tongue are common part of dyskinesia

Reglan  and metoclopramide are in a class of medicines called neuroleptics  and antipsychotics. While Reglan or metoclopramide are more often used for nausea and digestive problems, similar medicines are used by psychiatrists to treat serious mental health problems. Gastroenterologists have not produced awareness materials to help avoid Reglan metoclopramide side effects. We must learn from psychiatrists and neurologists.

The video below is produced by Psychiatric Times. Please go to their site and download your own copy. There is also a smart phone version, instructional materials and scoring sheets.

“Persons taking any kind [emphasis added] of antipsychotic medication need to be monitored for movement disorders. The AIMS (Abnormal Involuntary Movement Scale) aids in the early detection of tardive dyskinesia as well as providing a method for on-going surveillance.

“Although the incidence of TD has been relatively low in recent years [this statement applies to psychiatry], changes in prescribing may result in increased occurrence. Clinicians will need to be alert to these possibilities and employ tools that will help them pick up developing problems as soon as possible.

“This simple checklist takes only 10 minutes to complete and uses a 5-point rating scale for recording scores for 7 body areas: face, lips, jaw, tongue, upper extremities, lower extremities, and trunk.”

Instructions and scoring sheets: http://www.psychiatrictimes.com/clinical-scales-movement-disorders/clinical-scales-movement-disorders/aims-abnormal-involuntary-movement-scale#sthash.oeirqsjt.dpuf

The video can be downloaded here: http://www.psychiatrictimes.com/clinical-scales-movement-disorders/clinical-scales-movement-disorders/aims-abnormal-involuntary-movement-scale

Abnormal Involuntary Movement Scale AIMS video_ tardive dyskinesia detection

This “patient” is an actor. The doctor is real.