PANat-Laptools®

PANat-Laptools®

A modular therapy tool system for structured, active, and restorative neurorehabilitation

PANat-Laptools® is a modular, low-tech, and clinically versatile therapy tool system developed to support rehabilitation of the arm and hand — especially in individuals with severe paresis, hemiparesis or paralysis after stroke, traumatic brain injury, or other neurological disorders.

The system was invented and created by occupational therapist Fransizka Wälder, and is now used internationally as part of the PANat approach to proactive neurorehabilitation.

PANat-Laptools® are designed to make it possible for patients to practice early, safely, and actively, even when very little voluntary movement is present. By providing structure, stability, and graded challenge, the tools enable therapists to guide patients from basic preparatory exercises toward complex, meaningful functional actions.

Caption: Guided upper limb rehabilitation during functional tasks, using the PANat-Laptool "Over-head pole" , aiming to reduce muscle tone and facilitate optimal movement patterns.
Caption: The training is carried over into daily activities, applying the functional movement into folding close using the PANat-Laptool "Finger and wrist extension board"

PANat-Laptools®, a modular therapy tool system-read more :

How it supports selective control and motor relearning

For many neurological patients motor control is fragmented, and the affected limb cannot support itself.
PANat-Laptools® provide:

  • stable surfaces
  • guided pathways for movement
  • graded resistance or facilitation
  • Limit unwanted movement

By reducing complexity, patients gain the opportunity to relearn selective movements such as:

  • shoulder flexion
  • scapular control
  • reaching
  • grasp-and-release
  • Hipflexion 

This is essential before more advanced functional actions can be retrained.

Why it is ideal for early activation and severe impairments

PANat-Laptools® are particularly effective during acute and early subacute phases, when:

  • muscle activity is minimal
  • the limb is difficult to control
  • therapists must avoid compensatory patterns
  • traditional task-training is too complex

The tools offer safe biomechanical guidance that enables even tiny or invisible muscle activity to be activated and perceived.
This supports neuroplasticity, builds early success, and prevents learned non-use.

How it works as high-intensity, “hands-off” and self-directed training

Used alone or in combination with Urias® Johnstone Air Splints, PANat-Laptools® create a structured environment for independent practice.
This is central to the PANat approach, where patients are encouraged to:

  • train between therapy sessions
  • participate in group sessions
  • repeat exercises frequently
  • practice actively in their own environment

The result is more repetition, higher intensity, and better long-term carry-over — critical factors for cortical reorganisation.

How it is functional, goal-oriented task training

Every PANat-Laptools® exercise can be linked to a concrete functional goal, such as:

  • reaching for a cup
  • stabilising the arm to hold cutlery
  • pushing up from a chair
  • supporting the arm during dressing

Exercises start with controlled, simplified movement patterns and gradually progress to more dynamic and complex activities.
This ensures that improvements at the body-function level translate directly into meaningful participation and daily life tasks — fully aligned with the ICF model.

How it integrates within the PANat approach

PANat-Laptools®  express PANat’s five core treatment principles:

  1. Restorative activation of the affected side – not compensation.
  2. Behavioural neuroplasticity – “use it and improve it.”
  3. Motor learning principles – structure, feedback, task orientation.
  4. Motivation – independence, autonomy, success experiences.
  5. Self-directed training – safe practice outside therapy time.

Combined with air splints, they create a highly effective, affordable, low-tech solution for continuous neurorehabilitation across all stages.

Key Functions and Therapeutic Purpose

A modular system that adapts to any level of ability

PANat-Laptools® consist of multiple tool components that can be combined, stacked, or adjusted to match different therapeutic needs.
This modularity allows clinicians to:

  • simplify complex movements
  • adjust the degrees of freedom
  • build progressive training steps
  • individualise practice to each patient

This aligns with systems theory principles: the therapist shapes the individual–task–environment interaction to promote successful movement experiences.

Interested in the exclusiv story behind the invention of PANat-Laptools® written by the inventor Fransizka Wälder: 

Download PDF article of the history of PANat-Laptools® :  “PANat-Laptools Magasin” Download here

 

Links:

Where to buy PANat-Laptools®?

Link to more information and sale in Switzerland of  PANat-Laptools®: www.panatlaptool.ch 

Link to more information and sale of  PANat-Laptools® in Deutchland and Europewww.panat-laptool.de