Barnes Akathisia Rating
0 = normal,
occasional fidgety movements of
1= presence of
characteristic restless movements: shuffling or tramping movements of the legs/feet or
one leg while sitting, and/or rocking from foot to foot or "walking on the spot"
when standing. but
present for less than half the time observed.
phenomena, as described in (1) above, which are present for at least half the observation
3 = patient is
constantly engaged in characteristic restless movements, and/or has the inability to
standing without walking or pacing during the time observed.
2. Subjective - Awareness of Restlessness
absence of inner restlessness
non-specific sense of inner
patient is aware of an inability to keep the legs still, or a
desire to move the legs, and/or complains of inner
specifically by being required to stand
awareness of an intense compulsion to move most of the time
and/or reports a strong desire to walk or
most of the time.
3.Subjective - Distress related to restlessness
4. Global Clinical Assessment of Akathisia
Absent. No evidence of awareness of restlessness. Observation of
characteristic movements of akathisia
the absence of a subjective report of inner restlessness or compulsive desire to move the
classified as pseudoakathisia.
Questionable. Non-specific inner tension and fidgety movements.
Mild akathisia. Awareness of restlessness in the legs and/or inner
restlessness worse when required to
still. Fidgety movements present, but characteristic restless movements of akathisia not
Condition causes little or no distress.
Moderate akathisia. Awareness of restlessness as described for mild
akathisia above, combined with
restless movements such as rocking from foot to foot when standing. Pt. finds the
Marked akathisia. Subjective experience of restlessness includes a
compulsive desire to walk or pace.
the pt. is able to remain seated for at least 5 minutes. The condition is obviously
Severe akathisia. Pt. reports a strong compulsion to pace up and down
most of the time. Unable to sit or lie
for more than a few minutes. Constant restlessness which is associated with intense