RohoMOSAIC Cushion, Standard, Inflatable Seat Cushion for Office Chair, Wheelchair, Cars, Home Living, & Back Pain Support, Adjustable Cushion with Stretchable Cover & Non-Skid Bottom, 18" x 16"

This cushion was recommended for my 102-year-old mother, who is recovering from a broken pelvis. It makes it possible for her to sit in a wheelchair for prolonged periods of time. Well worth the cost.

I am a caregiver. I got this product 2 mos ago for an elderly woman age 90+. It was recommended by her physical therapist who came to show us core strengthening routines she can still handle for her age. Given she sits long on her wheelchair when feeding and doing her daily bathroom hygiene, I find this product provided the best value despite the price. Of course I’ve used all types of low cost, from large retailers or here in Amazon, cushions that flattens and gels that leaks. 15 yrs of caregiving told me nothing lasts a lifetime. This are comfort aids that gets abused from getting soiled, weight and wear. Just like a normal pillow we use for sleeping, they all need to be replaced after a period of time.Rojo is easy to inflate. You need to follow directions and handle with care. Don’t over inflate. Try to slowly press it down with your fist and shouldn’t have so much resistance as your fist sinks to the bottom. It should have some play for the air and pockets to move when you’re sitting down on it. This rojo cushion is almost like the auto-inflate mattresses given to elder or bed-ridden individuals to help avoid decubitus or skin pressure sores except this is designed for wheelchairs. It helps with the users blood circulation after sitting for prolonged periods. Of course, rojo is an aid, not a cure for pressure sores etc. Excellent nutrition is still key to help health issue.Pick the right size. Measure your wheelchair seat and purchase the exact measurements for the rojo. If the user is sliding like I’ve read in another review before I purchased this, I would probably secure my elderly using a gait belt for safety while sitting down or transferring.Sanitizing is easy too. You can spray with alcohol or wipe down with sanitizing wipes. The material is sturdy and let it air-dry especially disinfectant wipes are strong for the skin.I also don’t put cloth over it. I like the idea that air circulates between those air pockets and the only barrier is the clothing.My retired friends tried it when I showed it to them. They also purchased it for air-travel. They have back and sciatica issues. Somehow it worked for them too. I also highly recommend this product even for office use. I told my adult kids to buy not sure if they did haha. No one thinks of their back and bottoms until they start experiencing pain. We use our backs and bottoms so much we need to take care of it and maintain good habits while we’re still young. I give this product a 4-star for now since I only got it a few months ago.

I have only used it for two days now, and so far it makes sitting in my chair, comfortable, but considerably higher… No complaints

It's perfect for my dad. His bottom does not break down as much.

Disclaimer: This review is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.So…Yes, this is a Roho brand *seat* cushion with a cover, pump, patch kit, instructions, and paperwork.No, it is not a Roho *medical* cushion, but it's not meant to be.A Roho medical / wheelchair cushion is designed for people with spinal cord injuries (who can't feel when blood circulation is getting cut off) and for folks with cognitive or communication issues (who can't tell you when things are going numb). The medical grade cushions (which this one is not) are made out of rubber, have high strength metal inflation valves, and come in many different sizes and configurations (like the ability to have different pressure in different parts of the cushion).*THIS* Roho seat cushion is nice quality, especially for the price point. I was actually quite pleasantly surprised when opening the package. And there are important differences to be aware of before purchasing:- Fewer size options- 315 lbs weight limit- Plastic valve instead of metal- Plastic air bladder instead of rubber- Air cell heights are all 3" tall- Fewer air cells- And the air cells are largerNormally you would anticipate this cushion to have a 5 x 5 cell configuration (a grid of 5 columns of 5 rows), or 25 air cells total. However, this cushion has been designed differently. Sitting on the cushion, from left-to-right the cells are arranged 4, 5, 5, 5, 4, for a total of 23 air cells. Who cares, right? Well, having fewer cells on the far left and far right means those cells are larger. In effect, those larger edge cells act as a channel to help keep your legs straight; therefore it's easier to keep your knees together. If you're wearing a skirt or kilt, that might be a benefit for you. Alternately, if you like looking like a cowboy with your knees splayed apart for comfort, you’re still good – it ‘helps’ keep your knees together, but it doesn’t ‘force’ them together.IMPORTANT: The single biggest problem any Roho cushion is over inflation. Folks, this cushion isn't a flotation device - don't pump it up and then sit "on top" of the cushion! You're supposed to sink "down into" the cushion. Ideally, you want 1/2" of air between your I.T.'s (your ‘ischial tuberosities’ or 'butt bones') and the bottom of the cushion. Think air suspension, not air flotation. The included instruction paperwork (which nobody reads) has a very clear description of how to achieve the perfect inflation level. If you've inflated your cushion correctly, when you get off the cushion it's SUPPOSED to look 'low on air' or 'going flat'. You want the minimum amount of air possible that can still keep your body correctly suspended. Pumping it up like a life raft (which is adding more air pressure) is just that - it's adding pressure against your skin. I know it sounds weird since low pressure in any kind of pool toy or tire is generally a really bad thing. It's your cushion and you can inflate it till it pops if you want. But as someone with lots of experience in this area, you'll be more comfortable and have less punctures if you follow the instructions. Of course, YMMV.In short, this Roho ‘seat cushion’ has features *similar* to a Roho medical cushion. But it can’t compare to the medical grade cushions. And that's fine because it's not intended to be a competitor for the medical cushions.Can you use it in a wheelchair? Of course - provided that wheelchair occupant can communicate to a caregiver (or transfer out of the chair independently) if the cushion gets a flat.Is it as durable as a medical grade Roho? No - So don't go 'plopping' down on it, don't stash your keys, pen, or reading glasses under your leg. Treat the cushion with care (especially when inflating) because the valve is plastic.Can it be repaired? Yes - Patching punctures in the air bladder is a cinch with the included repair kit. But if you twist that plastic valve too hard (in either direction), you're going to have a bad day. I've repaired many medical grade Roho cushions in my day, and valve repairs were always a messy hit/miss situation. Glue everywhere, slow leaks, ick!Verdict?- I would ABSOLUTELY recommend this Roho 'seat' cushion to anyone who is having sitting pain in a vehicle, office chair, or occasional use in a wheelchair (trips to the doctor, church, dinner, library, concert, movie, visiting family).- I would ABSOLUTELY NOT recommend this Roho 'seat' cushion for someone in a wheelchair who self-ambulates (by using their feet or the handrims) and is in the wheelchair all day. It's not designed for that task, and you're going to be disappointed. Get a medical grade Roho instead.IMPORTANT: Twenty years ago, the cost to perform skin-flap surgery to repair a pressure sore was about $60K. (It's probably twice that cost today). Human skin is one of your body organs, and if your skin is damaged it can quickly lead to serious infections. ‘Nuff said.TL;DR - If your butt hurts, this is a really solid cushion for the price. If you're in a wheelchair all day, get a medical grade Roho instead.