If you or someone you care for uses a wheelchair, the right cushion can make a world of difference. It’s not just about comfort, it’s about preventing pressure injuries, improving posture, and supporting long-term mobility and independence.
So, how do you know whether you need a pressure relief cushion, a positioning cushion, or a bit of both? Let’s break it down.
Why Your Cushion Choice Matters
Pressure relief cushions are designed to reduce pressure on vulnerable areas like the tailbone, hips, and thighs, especially where bone is close to the skin. These are essential for anyone who:
- Has limited mobility or is unable to shift their body weight
- Has a history of pressure sores or injuries (or is at high risk of developing them)
- Is experiencing illness, ageing, or skin sensitivity
How They Work
Key contributors to skin breakdown include prolonged pressure, moisture, and heat build-up. A good pressure relief cushion helps reduce these factors by dispersing pressure evenly and encouraging airflow.
It’s important to note that while cushions do not heal existing pressure wounds, they can significantly reduce the risk of future injuries when chosen appropriately.
Can a Cushion Offer Both Pressure Relief and Positioning?
Yes, and in fact, most cushions do. While some cushions focus more on one feature than the other, almost all wheelchair cushions offer some degree of pressure relief and positioning.
For example, a cushion designed to offload pressure from your sitting bones often redirects that pressure to your thighs and other load-bearing areas, which is also a form of positioning.
The balance between the two depends on your individual needs:
- Positioning for functional activities (e.g., self-propelling, cooking, reaching)
- Positioning for offloading pressure and maintaining posture during prolonged sitting
Understanding which is more important for your lifestyle will help guide your decision.
Features of Pressure Relieving Cushions
- Made from foam, air, or fluid-like materials that reduce pressure points
- Usually come with moisture-resistant covers
- Often include materials or tech that help dissipate heat
- Recommended for long-term wheelchair users or people recovering from surgery
Top Pressure Relief Options:
Ki Axiom SP Visco – Memory foam design for contoured pressure distribution
Ki Axiom SP Fluid – Non-Newtonian fluid cells (similar to gel but more stable)
Varilite Evolution – Air and foam combination for lightweight pressure relief
What Is a Positioning Cushion?
Positioning cushions are all about helping you sit upright, safely, and comfortably. These are especially useful for people who:
- Slide forward or sit asymmetrically
- Struggle with core or trunk control
- Need help maintaining proper seated alignment
Features of Positioning Cushions:
- Contoured bases to support the pelvis and thighs
- Firm foundations that help prevent sliding
- Designed to encourage upright posture and functional sitting
Top Positioning Options
(All of these also offer excellent pressure relief!)
For Lighter Needs: Positioning & Comfort Combo
These cushions are ideal for users who can reposition independently and don't sit for extended periods:
- Varilite Reflex – Self-inflating and low-maintenance
- Ki Axiom G – Gel-infused foam with balanced support and comfort
Quick Guide: Which Cushion Should You Choose?
| You Might Need… | If You… |
|---|---|
| Pressure Relief Cushion | Sit for long periods, have limited mobility, or are at high skin risk |
| Positioning Cushion | Slide, lean, or need posture support |
| Hybrid Cushion | Want the best of both — pressure relief and postural support |
Final Thoughts
Choosing a wheelchair cushion isn’t just about comfort — it’s about long-term health, function, and independence. Whether you need pressure relief, postural alignment, or a hybrid cushion that offers both, Allied Medical has options tailored to your needs.
👉 Browse our full cushion collection here and take the pressure off — literally.