Therapeutic cushions and systems for using the same

Therapeutic cushions having a plurality of inflatable columnar cells, pumping mechanism, and a manifold or valve system for moving a fluid between the pumping mechanism and the inflatable columnar cells. The inflatable columnar cells are constructed such that inflation and deflation of the cells cause vertical expansion/contraction of the cells with limited lateral expansion/contraction. The manifold or the valve system connect the pumping mechanism with the inflatable columnar cells such that a plurality of zones are created. A valve assembly can include a plurality of valves and is adjustable among at least three valve configurations to vary fluid connections to the inflatable columnar cells to produce rearwardly advancing waves. A venting manifold may vent air from the cells between the cushions.