Foam vs Gel vs Air Pressure Cushions: Which Is Right for You?

Choosing the right pressure cushion starts with understanding the three main types: foam, gel, and air. Each works differently, suits different needs, and comes at a different price point. This guide explains what sets them apart so you can choose the right option for your situation.

• The three types of pressure cushions explained
• Key differences at a glance
• Which type is right for you?

The Three Types of Pressure Cushions Explained

Pressure cushions work by redistributing your body weight so no single area bears too much pressure for too long. The material inside the cushion determines how well it does this — and for how long it keeps doing it.

Foam pressure cushions

Foam cushions are the most common and affordable option. They compress slightly under your body, spreading the load across a wider surface area. Standard foam does degrade over time and loses its pressure-relief properties, though higher-density medical-grade foam holds its shape significantly longer.

Best for: people at low to moderate risk, those who sit for up to four hours a day, and anyone wanting a lightweight, easy-care option.

Typical price range: $50 to $150.

Gel pressure cushions

Gel cushions combine a silicone gel layer with a foam base. The gel flows around your body shape to distribute pressure more evenly than foam alone. Gel also runs cooler than memory foam, which makes a real difference during warmer months or for anyone who tends to overheat.

Best for: moderate-risk users, people sitting for four to eight hours a day, and those who need better pressure relief than foam provides.

Typical price range: $150 to $350.

Air cell cushions

Air cushions use a series of interconnected air-filled cells that adjust to your body shape, offering the highest level of pressure redistribution available in a non-powered cushion. The ROHO cushion is the best-known example in Australia and is frequently recommended by occupational therapists for wheelchair users and people with existing pressure injuries.

Best for: high-risk users, people with current or recent pressure injuries, and wheelchair users who spend most of the day seated.

Typical price range: $250 to $600.

Key Differences at a Glance

Here's how the three types compare across the factors that matter most for daily use.

Which Type Is Right for You?

The right cushion depends on how long you sit, your risk level, and your budget. Here's a practical guide to help you decide.

Choose foam if:

• You sit for up to four hours a day
• You are at low to moderate risk (no active pressure sores, no recent history)
• You want something lightweight and easy to clean
• Budget is a priority

Browse our foam pressure cushions.

Choose a gel cushion if:

• You sit for four to eight hours a day
• You have had a pressure sore before, or are at moderate risk
• You want better temperature regulation
• You are happy to invest more for better long-term performance

Browse our gel pressure cushions.

Choose an air cushion if:

• You or your family member uses a wheelchair daily
• There is an active pressure injury, or a high clinical risk
• An occupational therapist has recommended one
• Long-term skin health is the priority

Browse our air cushions.

What about alternating pressure cushions?

Alternating pressure cushions are powered devices that inflate and deflate air cells in a cycle, constantly shifting where pressure sits. They are usually prescribed for very high-risk or bed-bound users and are typically funded through NDIS or DVA rather than purchased directly. If you think one may be needed, speak with your occupational therapist for an assessment first.

Key takeaways

• Foam suits low to moderate risk and shorter sitting periods — a good-value starting point
• Gel gives better performance at a mid-range price for moderate-risk users
• Air cushions offer the highest pressure relief and are recommended for high-risk or wheelchair users
• If you are unsure, speak with your GP or occupational therapist before buying