Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Clinical scores | |||||
[34]
RCT Crossover design |
24 people with ET (23 completed), clinical diagnosis |
Clinical score (0–4) x segments
2 weeks
22/23 (96%) with propranolol 5/23 (22%) with placebo |
P <0.001 |
Effect size not calculated | propranolol |
[35]
RCT Crossover design |
11 people with ET (10 completed), clinical diagnosis |
Clinical score
6 weeks' treatment
with propranolol with placebo Absolute results not reported |
P <0.003 |
Effect size not calculated | propranolol |
[36]
RCT Crossover design |
9 people with ET (7 completed), clinical diagnosis |
Clinical score
with propranolol with placebo Absolute results not reported |
P <0.01 |
Effect size not calculated | propranolol |
[11]
RCT Crossover design |
16 people with ET (16 completed), clinical diagnosis |
Clinical score
with propranolol 240 mg/day with placebo Absolute results reported graphically |
P <0.05 (propranolol 240 mg/day v placebo) |
Effect size not calculated | propranolol 240 mg/day |
[11]
RCT Crossover design |
16 people with ET (16 completed), clinical diagnosis |
Clinical score
with propranolol 120 mg/day with placebo Absolute results reported graphically |
Unclear; no report of a significant difference (propranolol 120 mg/day v placebo) |
||
[37]
RCT Crossover design 5-armed trial |
23 people with ET (15 completed), clinical diagnosis |
Clinical score (0–5 each side, maximum 10)
with propranolol 80 mg 3 times/day with propranolol LA 160 mg/day with propranolol LA 240 mg/day with propranolol LA 320 mg/day with placebo Absolute results reported graphically |
P <0.05 (all doses of propranolol except 160 mg v placebo) |
Effect size not calculated | propranolol (80 mg 3 times/day or LA 240 mg/day or LA 320 mg/day) |
[12]
RCT Crossover design 4-armed trial |
9 people with ET (9 completed), clinical diagnosis |
Objective tremor score (0–25)
6.6 with propranolol 10.7 with placebo |
P <0.01 (propranolol v placebo) |
Effect size not calculated | propranolol |
[29]
RCT Crossover design 3-armed trial |
17 people with ET (12 completed), clinical diagnosis |
Clinical score (0–10): mean change from baseline
–2.58 with propranolol –1.08 with placebo |
P <0.01 (propranolol v placebo) |
Effect size not calculated | propranolol |
[24]
RCT Crossover design 3-armed trial |
16 people with ET (16 completed), clinical diagnosis |
Tremor Clinical Rating Scale score ( P1 + P2, 0–78)
with propranolol with placebo |
Mean difference (propranolol v placebo): –4.95 P <0.01 |
Effect size not calculated | propranolol |
Accelerometry | |||||
[34]
RCT Crossover design |
24 people with ET (23 completed), clinical diagnosis |
Accelerometry (frequency)
2 weeks
with propranolol with placebo |
Reported as unchanged |
||
[34]
RCT Crossover design |
24 people with ET (23 completed), clinical diagnosis |
Accelerometry (amplitude)
2 weeks
with propranolol with placebo |
P <0.001 |
Effect size not calculated | propranolol |
[36]
RCT Crossover design |
9 people with ET (7 completed), clinical diagnosis |
Accelerometry
with propranolol with placebo |
P <0.01 |
Effect size not calculated | propranolol |
[17]
RCT Crossover design |
16 people with ET (16 completed), clinical diagnosis |
Accelerometry (amplitude)
with propranolol 120 and 240 mg/day with placebo Absolute results reported graphically |
P <0.01 (propranolol 240 mg/day v placebo) |
Effect size not calculated | propranolol 240 mg/day |
[11]
RCT Crossover design |
16 people with ET (16 completed), clinical diagnosis |
Accelerometry (amplitude)
with propranolol 120 mg/day with placebo Absolute results reported graphically |
P reported as not significant (propranolol 120 mg/day v placebo) |
Not significant | |
[11]
RCT Crossover design |
16 people with ET (16 completed), clinical diagnosis |
Accelerometry (amplitude)
with propranolol 240 mg/day with placebo Absolute results reported graphically |
P <0.02 (propranolol 240 mg/day v placebo) |
Effect size not calculated | propranolol 240 mg/day |
[37]
RCT Crossover design 5-armed trial |
23 people with ET (15 completed), clinical diagnosis |
Accelerometry (magnitude)
with propranolol 80 mg 3 times/day with propranolol LA 160 mg/day with propranolol LA 240 mg/day with propranolol LA 320 mg/day with placebo Absolute results reported graphically |
P <0.02 (all propranolol dosing regimens combined v placebo) |
Effect size not calculated | propranolol (all included dosing regimens combined v placebo) |
[29]
RCT Crossover design 3-armed trial |
17 people with ET (12 completed), clinical diagnosis |
Accelerometry (frequency: mean change from baseline)
–0.20 with propranolol +0.11 with placebo |
P value reported as not significant |
Not significant | |
[29]
RCT Crossover design 3-armed trial |
17 people with ET (12 completed), clinical diagnosis |
Accelerometry (amplitude: mean change from baseline)
–87.60 with propranolol –66.90 with placebo |
P <0.01 |
Effect size not calculated | propranolol |
[24]
RCT Crossover design 3-armed trial |
16 people with ET (16 completed), clinical diagnosis |
Accelerometry (tremor magnitude)
with propranolol with placebo |
Reported as not significant P value not reported |
Not significant | |
[24]
RCT Crossover design 3-armed trial |
16 people with ET (16 completed), clinical diagnosis |
Accelerometry (tremor frequency
with propranolol with placebo |
Reported as not significant P value not reported |
Not significant | |
[13]
RCT Crossover design 3-armed trial |
24 people with ET (24 completed), clinical diagnosis |
Accelerometry (frequency)
9.1 with propranolol for 5 to 7 days 9.4 with placebo for 5 to 7 days |
Reported as not significant P value not reported |
Not significant | |
[13]
RCT Crossover design 3-armed trial |
24 people with ET (24 completed), clinical diagnosis |
Accelerometry (maximum amplitude)
71 with propranolol for 5 to 7 days 128 with placebo for 5 to 7 days |
P <0.05 (propranolol v placebo) |
Effect size not calculated | propranolol |
[14]
RCT Crossover design 3-armed trial |
24 people with ET (24 completed), clinical diagnosis |
Accelerometry (tremor intensity, a summated value of the acceleration of postural tremor for 40 seconds)
42.9 with propranolol 4.9 with placebo |
P <0.01 (propranolol v placebo) |
Effect size not calculated | propranolol |
Self-rating | |||||
[34]
RCT Crossover design |
24 people with ET (23 completed), clinical diagnosis |
Self-rating
with propranolol with placebo |
|||
[35]
RCT |
11 people with ET (10 completed), clinical diagnosis |
Self-rating
6 weeks' treatment
5/5 (100%) with propranolol 1/5 (20%) with placebo |
P value not reported |
||
[36]
RCT Crossover design |
9 people with ET (7 completed), clinical diagnosis |
Number of people improved >2 assessments
12 with propranolol 2 with placebo |
P <0.05 |
Effect size not calculated | propranolol |
[11]
RCT Crossover design |
16 people with ET (16 completed), clinical diagnosis |
Self-rating (0–5)
with propranolol 120 and 240 mg/day with placebo Absolute results reported graphically |
P <0.01 (propranolol 120 mg/day or 240 mg/day v placebo) |
Effect size not calculated | propranolol |
[37]
RCT Crossover design 5-armed trial |
23 people with ET (15 completed), clinical diagnosis |
Self-rating (0–5)
with propranolol 80 mg 3 times/day with propranolol LA 160 mg/day with propranolol LA 240 mg/day with propranolol LA 320 mg/day with placebo Absolute results reported graphically |
P <0.05 (all doses of propranolol v placebo) |
Effect size not calculated | propranolol |
[12]
RCT Crossover design 4-armed trial |
9 people with ET (9 completed), clinical diagnosis |
Mean subjective tremor score (0–10)
4.4 with propranolol 6.2 with placebo |
P = 0.1 (propranolol v placebo) |
Not significant | |
[29]
RCT Crossover design 3-armed trial |
17 people with ET (12 completed), clinical diagnosis |
Self-rating (0–10): mean change from baseline
–4.50 with propranolol –2.04 with placebo |
P <0.01 (propranolol v placebo) |
Effect size not calculated | propranolol |
[24]
RCT Crossover design 3-armed trial |
16 people with ET (16 completed), clinical diagnosis |
Self-rating: subjective Disability Scale (25–100)
with propranolol with placebo |
Mean difference in Subjective Disability Scale score (propranolol v placebo) –4.48 P = 0.11 |
Not significant | |
Performance tests | |||||
[35]
RCT |
11 people with ET (10 completed), clinical diagnosis |
Performance tests: pegboard test
6 weeks' treatment
+2.9 with propranolol –2.1 with placebo |
P = 0.06 |
Not significant | |
[11]
RCT Crossover design |
16 people with ET (16 completed), clinical diagnosis |
Performance tests (hand-writing, drawing geometrical figures, and tracing an Archimedes' spiral, scores 0–5)
with propranolol 120 and 240 mg/day with placebo Absolute results reported graphically |
P <0.01 (propranolol 120 mg v placebo) |
Effect size not calculated | propranolol 120 mg |
[37]
RCT Crossover design 5-armed trial |
23 people with ET (15 completed), clinical diagnosis |
Performance test scores (copy a short sentence and trace inside an Archimedes' spiral, 0–5)
with propranolol 80 mg three times/day with propranolol LA 160 mg/day with propranolol LA 240 mg/day with propranolol LA 320 mg/day with placebo Absolute results reported graphically |
P <0.01 (propranolol and propranolol LA 320 mg v placebo) |
Effect size not calculated | propranolol (80 mg/day three times/day or LA 320 mg/day) |
[29]
RCT Crossover design 3-armed trial |
17 people with ET (12 completed), clinical diagnosis |
Performance tests: mean change from baseline in pegboard test (time to complete in seconds)
–8.58 with propranolol –6.17 with placebo |
P value reported as not significant |
Not significant |