Table 5 Summary of results showing pooled standardized mean differences (SMD; with Hedges’ g adjustment) between treatment and control arms.

From: Clinical and cognitive effects of external trigeminal nerve stimulation (eTNS) in neurological and psychiatric disorders: a systematic review and meta-analysis

Outcome

Trials included

k

N

Effect size estimate

p

Heterogeneity

SMD

Lower 95%CI

Upper 95%CI

I2

p

Migraine pain intensity

All

6

485

0.63

0.26

1.50

0.17

95.19

<0.001

Sham Control

2

75

1.18

−0.65

3.00

0.21

95.97

<0.001

Medication Comparison

3

232

0.27

−1.07

1.62

0.69

95.39

<0.001

Children/adolescents

0

na

na

na

na

na

na

na

Adults

6

485

0.63

0.26

1.50

0.17

95.19

<0.001

Blinded

2

145

1.18

−0.65

3.00

0.21

95.97

<0.001

eTNS Combined

4

480

1.03

0.84

1.23

<0.001

0

0.78

No. monthly anti-migraine drug use

All

3

260

0.16

−0.23

0.55

0.41

59.22

0.08

Sham Control

1

na

na

na

na

na

na

na

Medication Control

1

na

na

na

na

na

na

na

Children/adolescents

0

na

na

na

na

na

na

na

Adults

3

260

0.16

−0.23

0.55

0.41

59.22

0.08

Blinded

1

na

na

na

na

na

na

na

No. of migraine attacks per month

All

2

157

0.19

−0.14

0.53

0.26

10.4

0.29

Sham Control

0

na

na

na

na

na

na

na

Medication Control

0

na

na

na

na

na

na

na

Children/adolescents

0

na

na

na

na

na

na

na

Adults

2

157

0.19

−0.14

0.52

0.26

10.4

0.29

Blinded

0

na

na

na

na

na

na

na

Migraine days

All

3

260

0.28

−0.08

0.64

0.13

52.27

0.12

Sham Control

0

na

na

na

na

na

na

na

Medication Control

0

na

na

na

na

na

na

na

Children/adolescents

0

na

na

na

na

na

na

na

Adults

3

260

0.28

−0.08

0.64

0.13

52.27

0.12

Blinded

0

na

na

na

na

na

na

na

Quality of life

All

2

304

1.88

1.22

2.53

<0.001

81.97

0.019

Sham Control

0

na

na

na

na

na

na

 

Medication Control

2

304

1.88

1.22

2.53

<0.001

81.97

0.019

Children/adolescents

0

na

na

na

na

na

na

 

Adults

2

304

1.88

1.22

2.53

<0.001

81.97

0.019

Blinded

0

na

na

na

na

na

na

 

Depression dimensions

All

3

111

0.45

0.01

0.88

0.05

22.91

0.27

Sham Control

0

na

na

na

na

na

na

 

Medication Control

0

na

na

na

na

na

na

 

Children/adolescents

0

na

na

na

na

na

na

 

Adults

2

50

0.66

−0.07

1.39

0.08

39.76

0.2

Blinded

0

na

na

na

na

na

na

 
  1. Significant values are in bold.
  2. CI Confidence Intervals, I2 percentage of between-study variation across SMDs that is due to heterogeneity rather than chance, k number of studies, N sample size.
  3. *p-values from Q – i.e., the chi-squared test statistic.