Inclusion Criteria- one sided ischemic stroke confirmed by radiology
Exclusion Criteria- brainstem stroke
- cerebellar stroke
- seizure with the recent stroke
- any history of uncontrolled seizure
- pregnancy or planning on getting pregnant during the next year
- recent history (past year) of alcohol and drug abuse (due to lack of follow up) Other criteria include TMS exclusions: aneurysm clips, previous surgery over motor cortex, open craniotomy.