**9. Our experience in TMS**

Our department first introduced TMS service for neuro-rehabilitation for our patients with intracranial or spinal insults in 2018 in outpatient setting (**Figure 8**). To facilitate early inpatient rehabilitation, TMS service was introduced to our in-hospital patients in 2021 as a routine tool of rehabilitation. rTMS and TBS are employed for motor and dysphasia rehabilitation. Despite service cut during COVID-19 period, over 100 cases had received TMS service in our unit. We conducted a prospective pilot trial to compare the 6-month outcome in motor rehabilitation in stroke patients receiving iTBS to stroke patients receiving conventional physiotherapy. There were significant improvement in upper limb Fugl Meyer assessment score and limb power in patients completing ten sessions of iTBS on motor hotspot of the pathological hemisphere.

**Figure 8.** *TMS treatment delivery in outpatient setting.*
