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Abstract
Background: Aphasia represents 20-38% of stroke patients and is associated with high morbidity and mortality rate. Aim of this work was to evaluate and investigate early and long term effects of repetitive transcranial magnetic stimulation combined with speech therapy on non fluent motor aphasia (Broca’s aphasia) in chronic cerebrovascular stroke. Results: At the end of the treatment there was a significant improvement in all domains of Arabic version of the modified Chesher test in G1 (p<0.05), while in G2 the significant improvement was present only in auditory comprehension and pantomime (p>0.05). There was also a significant decrease in the mean value of power intensities of rTMS in G1 denoting improvement. Comparing total scores post treatment in G1 versus G2 revealed a significant improvement of all domains measured clinically or by rTMS. There was a strong negative correlation in total scores of version of Arabic translated form of the modified Chesher test and the decrease of the mean values of power intensity of rTMS in G1. Conclusion: Speech therapy combined with rTMS enhanced language function in chronic non- fluent aphasia post stroke patients.