What Are You Sitting On?

Let’s take a moment to think about a question we rarely ask ourselves: What are you sitting on?

If you’re reading this from an office chair, a couch, or even a wheelchair, chances are you didn’t give much thought to what’s under you. But the truth is, what we sit on matters— especially for individuals who rely on seating for mobility, daily living, or long-term support.

Whether you’re sitting for an hour or all day, the right cushion can make a world of difference. And when it comes to assistive technology and mobility solutions, specialised cushions aren’t just about comfort—they’re about health, function, and independence.

Why Cushion Choice Matters

Imagine wearing the wrong pair of shoes every day. Your feet would hurt, your posture might change, and you’d likely start to experience long-term pain or even injury. The same logic applies to seating. A poorly fitted or unsupportive cushion can lead to:

• Pressure injuries (also known as pressure sores or ulcers)

• Poor posture and spinal misalignment

• Reduced circulation

• Increased fatigue

• Decreased stability and function

And for people with limited mobility, these aren’t just inconveniences—they’re serious risks.

The Difference in Specialised Cushions

Specialised seating cushions are designed with a wide range of needs in mind. Let’s break down some common types and their unique benefits:

Foam Cushions

These are lightweight and affordable. High-density foam can provide good postural support, and some are contoured to promote stability. Great for people who need basic comfort and alignment.

Gel Cushions

These use a gel layer to help with pressure redistribution. They’re ideal for users at moderate risk of pressure injuries and offer cooling benefits.

Air Cushions

Made with interconnected air cells, these cushions offer superior pressure relief by evenly distributing body weight. Popular with users at high risk of pressure injuries (think ROHO-style cushions).

Hybrid Cushions

Combining foam, gel, and/or air, hybrid cushions provide tailored solutions for users with complex seating needs. They’re often used in custom wheelchair setups.

Each of these options can be further specialised with contouring, cut-outs, or dual-layer designs depending on the user’s condition, posture, and skin integrity.

It’s Not One-Size-Fits-All

The best cushion for one person might be completely inappropriate for another. Choosing the right one involves a combination of clinical assessment, trial fittings, and ongoing review. Occupational therapists and physiotherapists play a vital role in this process—because the goal is more than just comfort. It’s about protecting skin, promoting function, and supporting independence.

The Impact of the Right Cushion

Here’s what the right cushion can do:

• Reduce the risk of pressure injuries
• Improve posture and reduce back pain
• Enhance stability and function (like better trunk control for self-propulsion or transfers)
• Increase overall comfort and energy levels
• Promote confidence and independence

For children and adults alike, the right seating support can mean more time in the community, better focus at school or work, and less time recovering from preventable health issues.

Final Thought: Ask the Question

So… what are you sitting on?
And is it supporting your health and wellbeing?

If you’re not sure, it might be time to talk to your therapist or seating specialist. Because everyone deserves to sit comfortably—and safely.