MovementDescriptionObservedTremorRhythmic shaking of hands jaw head or feetA very rhythmic shaking at 36 beats per second usually indicates extrapyramidal symptoms or side effects EPSE of parki ID: 951729
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Tardive Dyskinesia ChecklistThe checklist below can be used to help determine if you or someone you know may have signs associated with tardive dyskinesia and other movement disorders. There are many kinds of abnormal movements in individuals receiving psychiatric medications and not all are because of drugs. If you answered “yes” to one or more of the items above, an evaluation by a psychiatrist or neurologist skilled in movement disorders may be warranted to determine the type of disorder and best treatment options.If you answered “no” to the items above, an examination should be conducted by a mental health care provider every six to 12 months while the individual is taking an antipsychotic medication. (Marder et al, Am J Psychiatry 2004).The Abnormal Involuntary Movement Scale (AIMS) exam is designed to assess movements associated with TD. Ask your doctor for regular AIMS exams. Early detection is the best approach. A copy of an AIMS exam can be found at the following link: www.cqaimh.org/pdf/tool_aims.pdf MovementDescriptionObserved?TremorRhythmic shaking of hands, jaw, head, or feetA very rhythmic shaking at 3-6 beats per second usually indicates extrapyramidal symptoms or side effects (EPSE) of parkinsonism, even if only visible in the tongue, jaw, hands, or legs.YesDystoniaSustained abnormal posture of neck or trunkInvoluntary extension of the back or rotation of the neck over weeks or months is common in tardive dystonia.YesAkathisiaRestless pacing, leg bouncing, or posture shiftingRepetitive movements accompanied by a strong feeling of restlessness may indicate a medication side effect of akathisia.YesTardive Repeated stereotyped movements of the tongue, jaw, or lipsExamples include chewing movements, tongue darting, or lip pursing. TD is not rhythmic (i.e., not tremor). These mouth and tongue movements are the most frequent signs of tardive dyskinesia.YesWrithing, twisting, dancing movements of ngers or toesRepetitive nger and toe movements are common in individuals with tardive dyskinesia (and may appear to be similar to akathisia).Yesocking, jerking, exing, or thrusting of trunk or hipsStereotyped movements of the trunk, hips, or pelvis may re ect tardive dyskinesia.Yes Tardive Dyskinesia NAMI e National Alliance on Mental Illness 1 (800) 950-NAMI www.nami.org3803 N. Fairfax Drive, Suite 100, Arlington, VA 22203