This seems to be a major milestone in the recover of speech for stroke victims.  I'm impressed, because it is non-invasive.
-------------------------------
     On July 2nd, JoVE will publish a video article showing the  details of a technique developed by researchers to improve language  function in stroke patients with chronic speech-language impairment.
      Strokes occur when a brain clot blocks blood flow in parts of the  brain, essentially starving groups of neurons of oxygen, which is  necessary for normal function.  Nearly 130,000 of the 795,000 strokes  Americans suffer annually result in death, accounting for roughly 5% of  deaths in the U.S. The remaining 665,000 stroke patients suffer a wide  variety of side effects ranging from complete loss of motor function to  loss of speech to a catatonic state. Because of the horrific nature of  these cerebrovascular events and their consequences, many clinical  researchers focus on prevention, rehabilitation and restoration of  function for stroke victims.
      A technique developed through these efforts utilizes transcranial  magnetic stimulation (TMS) to improve language function in stroke  patients with chronic aphasia. Patients who have undergone this  procedure have previously reached a plateau in their ability to produce  fluent language, despite signs of understanding and frustration at their  inability to communicate.
      �The heart of our work is to use non-invasive brain stimulation� to  modulate cortical networks that we think are in flux.  We think that  those circuits in the brain do remodel and that we can tweak them  further using non-invasive stimulation,� explains Roy Hamilton, M.D.,  the co-director of the Laboratory for Cognition and Neural Stimulation  at the University of Pennsylvania Medical School. He continues, �For  most people the left hemisphere plays a dominant role in our language  capacity. The brain does have the capacity to reorganize itself and  rework some of the network and geography that represents specific  cognitive skills.�
      Transcranial magnetic stimulation was first successfully performed in  1985 by Anthony Barker and his colleagues in Sheffield, UK. The  technique takes advantage of an aspect of physics derived from the  Biot-Savart Law, which states that a current running through a wire  generates a magnetic field. Because neurons act like electric wires in  the brain, targeting populations of neurons with a magnetic field can  modulate their function, making them either more or less reactive.    Over the last 28 years TMS has been used in several fields of research  but has only recently been used to treat stroke patients.   
      Initial results from work with a well curated population of stroke  patients in Dr. Hamilton�s laboratory demonstrate long-term improvement  in language production after TMS stimulation. �Using our technique, we  can take patients who are in the theoretical plateau period [in  recovery] and cause continued improvement. We like to think about it as  enhancing their language plasticity.� Patients treated with TMS see an  extended recovery, where not only will they experience immediate  improvement, but they will also gain continued development of their  language capacity months after treatment.
      
      Hamilton, R. H. 
et. al.; Utilizing  Repetitive Transcranial Magnetic Stimulation to Improve Language  Function in Stroke Patients with Chronic Non-fluent Aphasia. J. Vis. Exp. (), e50228, doi:10.3791/50228 (2013).