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A person sitting in a manual wheelchair on a ROHO Low Profile cushion, side view showing the slim profile and air cells. Alt: ROHO Low Profile cushion in use on a manual wheelchair.

Roho Cushions Explained: Top Models for Pressure Relief

If you've ever wondered how ROHO air cushions work or which model fits your needs, you're in the right place. ROHO cushions use patented Dry Flotation technology to reduce pressure, prevent skin breakdown, and improve comfort. In this guide, we break down the top ROHO cushion models, accessories, and how to choose the right one. Let's get started.

1. ROHO Standard Low Profile Cushion , Classic Pressure Relief

The ROHO Low Profile cushion is a go-to for active wheelchair users. With 2-inch air cells, it offers a lower seat height, making self-propulsion easier. It provides moderate pressure relief and is ideal if you transfer frequently and need stability. The cushion includes a hand pump, repair kit, and cover. It's backed by a 2-year warranty and made in the USA.

Pro Tip: If you're an active user who self-propels, the Low Profile gives you a lower center of gravity for better stability.

Available in many sizes, from 12x12 up to 22x18. It accommodates pelvic asymmetry up to 1.75 inches. According to SpinLife's product page, 96% of reviewers recommend this cushion for its comfort and durability.

2. ROHO Standard High Profile Cushion , Deeper Immersion

The High Profile cushion has 4-inch air cells, allowing about 3.5 inches of immersion. It's designed for people at high risk of pressure sores or with a history of tissue breakdown. The deeper immersion provides maximum pressure redistribution and blood flow. However, the extra height can make self-propulsion harder.

Close-up of a ROHO High Profile cushion's tall air cells, with hand pressing down to show immersion. Alt: Hand pressing into ROHO High Profile cushion's 4-inch air cells.

Like the Low Profile, it comes with a pump, repair kit, cover, and a 2-year warranty. Sizes range from 12x12 up to 27x20. This model is sensory-check ready and recommended for those without sensation. 

3. ROHO Quattro Cushion , Quadrant Control

The ROHO Quattro (or Quadtro Select) cushion divides the air chamber into four quadrants using the IsoFlo Memory Control valve. Open the valve (green button) to let air flow freely for general use. Close it (red button) to lock air in each quadrant for targeted positioning. This allows you to correct pelvic obliquities or accommodate fixed asymmetries.

Available in low, mid, and high profile versions. The cushion includes the same accessories as standard models. A Permobil product page highlights its use for both skin protection and positioning. The Quattro is ideal for users needing both pressure relief and postural control.

4. ROHO Hybrid Select Cushion , Air and Foam Combo

The Hybrid Select combines a contoured foam base with ROHO air cells. The foam provides stability, lateral support, and a leg trough for positioning. The air overlay offers pressure redistribution and adjustment via IsoFlo. This cushion is great for users who need more stability than a full air cushion but still want skin protection.

It has three independent air sections (pelvic left, pelvic right, thigh) that can be locked or open. Offloading is possible by removing the IT (ischial tuberosity) insert. As explained in a Permobil guide, the Hybrid Select is designed for functional activities like work or school.

5. ROHO Repair Kit , Quick Puncture Fix

ROHO cushions can be punctured by sharp objects or cat claws. The official repair kit includes patches, alcohol wipes, and instructions. It's easy to use: find the leak by submerging the cushion in water, dry the area, apply the patch with a hard object to seal.

Permobil recommends waiting at least five minutes before re-inflating. The kit repairs small holes effectively. Always keep a repair kit on hand.

Comparison of ROHO Cushion Models

Model Cell Height Best For
Low Profile 2 inches Active users, self-propellers
Mid Profile 3 inches General use, moderate risk
High Profile 4 inches High risk of pressure sores
Quattro Select Varies (low/mid/high) Positioning needs, pelvic asymmetry
Hybrid Select Air + foam Stability plus skin protection

Choosing the right model depends on your activity level, risk of skin breakdown, and need for positioning. Consult your clinician for a proper assessment. For a full selection of ROHO cushions, visit Wheelchair Bearings' Roho Wheelchair Cushions collection.

Frequently Asked Questions

How often should I check the air pressure in my ROHO cushion?

Perform a hand check every day. The hand check involves sliding your fingers between the cushion and your sit bones. You should feel about 1/2 to 1 inch of air. Complete a full inflation adjustment once a week or whenever the cushion feels too firm or too soft. Temperature and altitude changes can affect pressure, so after travel or weather shifts, check more frequently.

How long does a ROHO cushion last?

With proper care, a ROHO cushion typically lasts 3 to 5 years. The neoprene material is durable but can be punctured. Regular checks for leaks, using the cover, and avoiding sharp objects extend its life. The standard models come with a 2-year limited warranty; Select series have a 3-year warranty. After the warranty, you can still repair small punctures with the repair kit.

Can I wash the ROHO cushion cover?

Yes, most ROHO covers are machine washable. Use cold water and mild detergent. Air dry the cover; do not put it in the dryer. The cushion itself can be wiped clean with mild soap and water. Avoid submerging the cushion in water unless you need to find a leak. Always close the valve before washing the cover to prevent water from entering the cushion.

What is the weight limit for ROHO cushions?

Weight limits vary by model.  There is no published weight limit for many ROHO models because the air cells adjust to the user. Always check the product specifications or ask your ATP.

Do ROHO cushions require a solid seat insert?

ROHO recommends using a solid seat insert with their cushions. A sling seat can sag over time, causing the cushion to lose effectiveness and creating a hammocking effect. A solid insert (like a planar solid seat insert) maintains the cushion's shape and ensures proper immersion. Many wheelchair frames come with a solid base; if not, you can order one separately. Check with your seating specialist.

Can I use a ROHO cushion on a sling seat?

Yes, but it's not recommended. Sling seats flex and can cause the cushion to bottom out. If you must use a sling seat, consider a Contour Base option that provides a rigid platform. The cushion itself is designed for a flat, solid surface. For sling seats, foam cushions are often a better choice. Check with your seating specialist for alternatives.

Conclusion

ROHO cushions are the gold standard for pressure relief in wheelchairs. With models ranging from the low-profile active user design to the high-profile deep immersion for high-risk individuals, there's a ROHO for nearly every need. The Quattro Select adds postural control, while the Hybrid Select blends foam stability with air protection. Remember to check your cushion daily, pump it weekly, and keep a repair kit handy. For the best fit, consult a clinician and order from an authorized dealer like Wheelchair Bearings. Invest in your skin health and comfort today.

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Disclaimer:

This article is for informational and educational purposes only and is not medical advice. It is not intended to diagnose, treat, cure, or prevent any condition, and it should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always seek guidance from a qualified healthcare provider with any questions you may have regarding a medical condition.

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