I have been paralyzed for 14 years and the #1 things that I never heard from any rehab facility, doctor, nurse or physical therapist is how important what you sit on is... ALL the time. I am not just talking about a cushion in your chair, which is obviously really important, but also when you are not in your chair. The two biggest places that no everyone thinks of is putting a seat cushion down in your car if you drive and when you shower.

When you drive, use a low-profile ROHO seat cushion. This will help absorb the bumps in the road and protect your butt. Even if your shower chair is padded, for those who are paralyzed and others, this is not enough padding. Don't kid yourself and put down a low-high profile ROHO.

The three best cushions for your chair I have found in my years of experience (I've been through many many cushions) are the following:

1. ROHO - good for active people in chairs
2. Easy Ride - custom to fit your butt to completely get the pressure off
3. Aquila - has a motor that moves air about to relieve pressure from sitting.

Take care of yourselves fellow wheelchair users! I wish someone told me these two important life adjustments to prevent skin-breakdowns, so I would like to pass on this wisdom to you.