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The impact of the ergonomic design of physiotherapy equipment and furniture on patient comfort, its effectiveness regarding rehabilitation sessions, and clinical workflow has recently attracted more interest. Especially for patients recovering from somatic, neurological, or degenerative diagnoses, ergonomic adjustable armchairs have become integral in supporting physiotherapeutic treatment. Among the latest advancements, armchairs with attached little work surfaces— desklet equipped armchairs—have been helpful in providing upper limb support, task-oriented therapy, and posture specialization. Nevertheless, most standard desklets are non-adjustable, poorly placed, or ergonomically unfit which makes them not useful in a clinical setting. This research describes a case-based study on the design of adjustable armchairs and attempted prosthetic desklets to reshape ward's use in physiotherapy. The case study was based on observing patients and therapists in a rehabilitation center interacting with advanced desklets which offered better adjustability, surface materials, and ergonomically sound design. The desklet's ergonomic design aimed to enhance the participant's posture and arm support while performing therapy tasks using a set of integrated tools. The outcome of this study includes significant improvement in reduction of muscle load, better task performance participation, and interaction between patients and therapists from change in use of various different observatory tools, questionnaires, and ergonomic evaluation tools such as RULA. According to the results attained, customizable desklets improved comfort and therapeutic effectiveness by a magnitude and 91% of patients reported overall satisfaction after modifications compared to 54% that were satisfied before the modification. Therapists reported smoother workflow, less need for situational changes, and more freedom in how the therapy was delivered. These findings show that modular, ergonomic desklets could alter standard furniture like adjustable armchairs, transforming them into sophisticated clinical apparatuses. The study ends with design and integration suggestions, with an appeal for smarter technology, cost assessments, and wider use of other physiotherapeutic disciplines.