A seat cushion or cooling wheel chair pad is an important accessory for those who spend extended time in a mobility chair. Sitting for long periods puts people at risk for developing pressure sores and bruises. In addition, vibration and heat can cause additional pain and discomfort.

Following is an overview of the seating pads and cushions available to wheel chair users.

FOAM CUSHIONS
These standard seat cushions are lightweight and inexpensive. They come in a variety of densities and sizes to accommodate the wheel chair seat. Yet, foam cushions typically last no longer than six to 12 months and should be checked regularly to ensure they are providing comfort and pressure relief.

GEL CUSHIONS
Gel cushions are heavy, distribute weight evenly, and provide good seating protection. While they are extremely durable, it is important to sure that gel cushions maintain their shape and the wheelchair user isn't "bottoming out" on the pad. If so, it needs to be replaced.

AIR CUSHIONS
These cushions have air chambers and can be inflated to adjust to the wheelchair user's comfort and sensitive areas. While lightweight and waterproof, they are subject to leaks and punctures, and should be checked regularly.

COOLING WHEEL CHAIR PADS
Cooling wheel chair pads are similar to cooling cushions people use on car seats and office chairs. They are specifically designed to reduce heat build-up and moisture from underneath the legs and buttocks that occur from extensive sitting. Cooling wheel chair pads offer pain relief and provide comfort for a number of hours, based on pad design and construction.

HYBRID AND OTHER TYPES OF CUSHIONS
Some manufacturers make cushions by combining materials like foam and gel. Others have developed new materials for their cushions and pads such as composite foam to enhance air circulation and moisture prevention.

Before deciding on a cushion, ask your health care professional which type is best for you. Then try different cushions and pads for yourself to see which you like the best and gives you the most comfort.