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Table 4 Movement disorders

From: Benefits and harms of medical cannabis: a scoping review of systematic reviews

Author, year

Search dates; # databases searched

Funding source

Nstudies

Illness/condition

Intervention/comparator

Outcomes

Conclusions from data

AMSTAR-2 rating

Koppel, 2014 [85]

Inception–Nov 2013; 5

Non-profit

34

MS, HD, PD, cervical dystonia, Tourette syndrome, epilepsy

I: All types of cannabinoids

C: Placebo

• Spasticity

• Central NP

• Bladder symptoms

• Tremor

• Symptomatic HD treatment

• Levodopa-induced dyskinesias

• Tic severity

• Cervical dystonia

• Seizure frequency

• Discontinuation of medication due to AEs

Reported SBS for all outcomes except discontinuation of medication due to AEs (favors placebo)

L

Mestre, 2009 [75]

Start search date varies by database to Dec 2007; 4

Non-profit

1

HD

I: Plant-derived cannabinoids

C: placebo

• Chorea severity

• Functional capacity

• HD staging system

• Motor function (SCL-90R)

• Cognition (SCL-90R)

• Psychological distress (SCL-90R)

Only one study included

M

Chung, 2006 [78]

Searched in Jul 2005; 11

Non-profit

1

PD

I: Plant-based cannabis

C: placebo

• Therapeutic effect on L-dopa induced dyskinesia

• Unified PD rating scale

• QoL

• Total AEs

Only one study included

L

Pringsheim, 2012 [86]

MEDLINE 1950 and EMBASE 1980 to Oct 2010; 2

Government

2

Tic disorders

I: Plant-derived cannabinoids

C: Placebo

• Tic frequency and severity

• Total AEs

Favors intervention

L

Curtis, 2009 [57]

Start search date varies by database and runs “to date”; 8

Government

2

Tourette syndrome

I: Plant-derived cannabinoids

C: Placebo

• Tic reduction

• Tic severity

• STSSS

• YGTSS

• TSSL

• Obsessive Compulsive disorder (TSSL)

• TS–CGI

• Video rating

• Total AEs

Favors intervention for tic reduction; reported SBS for total AEs; only one study included for all other outcomes

M

  1. HD Huntington’s disease, MS multiple sclerosis, NR not reported, PD Parkinson’s disease, SBS study-by-study, SCL-90R Symptoms Checklist-90 Revised, QoL quality of life, STSSS Shapiro Tourette Syndrome Severity Scale, THC tetrahydrocannabinol, TS-CGI Tourette Syndrome Clinical Global Impressions, TSSL Tourette’s Syndrome Symptom List (patient rated), VAS visual analog scale, YGTSS Yale Global Tic Severity Scale