en Clinical Neuroscience Clinical Neuroscience Original Original <p style="text-align: justify;"><strong>Introduction: </strong>Balance impairment is a common problem and a major cause of motor disability after stroke. Therefore, this study aimed to investigate whether low-frequency repetitive Transcranial Magnetic Stimulation (rTMS) improves the postural balance problems in stroke patients.<br> <strong>Methods:</strong> This randomized double blind clinical trial with 12 weeks follow-up was conducted on stroke patients. Treatment was carried with 1 Hz rTMS in contralateral brain hemisphere over the primary motor area for 20 minutes (1200 pulses) for 5 consecutive days. Static postural stability, Medical Research Council (MRC), Berg Balance Scale (BBS), and Fugl-Meyer assessments were evaluated immediately, 3 weeks and 12 weeks after intervention.<br> <strong>Results:</strong> A total of 26 patients were enrolled (age range=53 to 79 years; 61.5% were male) in this study. Administering rTMS produced a significant recovery based on BBS (df=86, 7; F=7.4; P=0.01), Fugl-Meyer Scale (df=86, 7; F=8.7; P<0.001), MRC score (df=87, 7; F=2.9; P=0.01), and static postural stability (df=87, 7; F=9.8; P<0.001) during the 12 weeks follow-up.<br> <strong>Conclusion:</strong> According to the findings, rTMS as an adjuvant therapy may improve the static postural stability, falling risk, coordination, motor recovery, and muscle strength in patients with stroke.</p> Stroke, Transcranial magnetic stimulation, Stroke rehabilitation, Postural balance, Proprioception 405 412 http://bcn.iums.ac.ir/browse.php?a_code=A-10-1000-1&slc_lang=en&sid=1 Bijan Forogh bijanfr@gmail.com 13700319475328460010947 13700319475328460010947 No Neuromusculoskeletal Research Center, Firoozgar Hospital, Tehran, Iran. Tannaz Ahadi tannaz.ahadi@yahoo.com 13700319475328460010948 13700319475328460010948 No Neuromusculoskeletal Research Center, Firoozgar Hospital, Tehran, Iran. Maryam Nazari dr_ahf@yahoo.com 13700319475328460010949 13700319475328460010949 No Neuromusculoskeletal Research Center, Firoozgar Hospital, Tehran, Iran. Simin Sajadi dr.sajadi_pmr@yahoo.com 13700319475328460010950 13700319475328460010950 No Neuromusculoskeletal Research Center, Firoozgar Hospital, Tehran, Iran. Lydia Abdul Latif lydialatif@um.edu.my 13700319475328460010951 13700319475328460010951 No Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. Seyed Majid Akhavan Hejazi dr.majid.hejazi@gmail.com 13700319475328460010952 13700319475328460010952 No Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. Gholamreza Raissi grezaraissi@yahoo.com 13700319475328460010953 13700319475328460010953 Yes Neuromusculoskeletal Research Center, Firoozgar Hospital, Tehran, Iran.