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Abstract Background and objectives : Hand dysfunction is a common clinical problem after stroke .The purpose of this study was to determine the effect of Repetitive Transcranial Magnetic Stimulation combined with Physical Therapy program on hand function of stroke patients. Methods: Thirty right hemiparetic (right handed) ischemic stroke male patients ,ranging in age from 45 to 60 years old, were assigned into two equal groups. The study group(group A) received low frequency repetitive transcranial magnetic stimulation followed by designed physical therapy program ,three sessions per week, for four week.The patients in the control group (group B) received sham stimulation of rTMS with home routine program and advices of ADL(activites of daily living).The clinical assessment of hand function and power of hand grip consisted of Fugel-Meyer Scale and hand dynamometer |