The HoMedics Total Coverage Shiatsu Massage Cushion has innovative technology that lets you drive the massage heads exactly where you need them with the precision guided joystick control. Customize the massage to your specific needs, or choose one of the 6 automatic massage programs. Use the separate shoulder mechanism to enhance your massage and get the benefits of both back and shoulder massage in one cushion. You also have the option of soothing heat for a more relaxing experience.