Lateral Rotation Mattress vs Alternating Pressure Mattress. Which is the right choice to prevent and treat bedsores?

A Lateral Rotation Mattress, AKA a turning mattress, "turns" or "rotates" the patient side to side to redistribute pressure. This movement simulates how nursing staff repositions or turns a patient to help prevent pressure ulcers. We receive calls from caregivers requesting a Lateral Rotation Mattress System. When asked if a medical professional suggested lateral rotation therapy for the prevention or treatment of a pressure ulcer, the answer is most often "NO, I found it online". Others say, "nurses turn people side to side every two hours, and I think that is what I need". This sounds logical however, it is not always accurate.

Lateral Rotation Mattress vs Alternating Pressure Mattress

Caregivers assume that a lateral rotation mattress replicates manual turning in the hospital. This is the reason many ask for this type of system. However, while a lateral rotation mattress does help prevent and treat stages I-IV pressure ulcers, it is utilized when specific conditions exist. One of the most important considerations is the presence of significant respiratory issues. If these conditions outlined below do not exist, an Alternating Pressure Mattress with Low Air Loss may be more appropriate. Additionally, Alternating Pressure Mattress Systems cost considerably less than lateral rotation.

 lateral rotationalternating pressure mattress

The difference between Lateral Rotation and Alternating Pressure.

Both systems relieve pressure for the prevention and treatment of pressure injuries. However, how they relieve the pressure for skin protection and when each is used is entirely different.

A lateral rotation low air loss mattress system uses air to move the patient side-to-side in timed cycles to relieve pressure. The air pump raises one side of the mattress between 25 and up to 40 degrees and holds. In a timed cycle, the mattress returns to the flat position and holds. The pump then raises the other side of the mattress. (Please note: Many lateral rotation mattress systems only rotate the patient up to 30 degrees. This is not considered true lateral rotation therapy. Choose a lateral rotation mattress system that can rotate up to 40 degrees.)


An Alternating Pressure Mattress is constructed of a series of air bladders the width of the mattress whose internal pressures "alternate" in timed cycles. The internal air pressures are controlled by an alternating pressure pump and set according to patient weight and comfort.

For simplicity, a Blue Chip Medical alternating pressure mattress has 18 air bladders. There are two sets of air bladders in a series. There is an odd series (bladders 1,3,5,7,9, etc) and an even series (2,4,6,8, 10, etc). While the odd series bladders are inflated and firm, the even series bladders are deflated and soft. In 10-minute cycles the soft bladders become firm and the firm bladders become soft. This continually redistributes the pressure between the body and the mattress, improves blood flow, and prevents and treats bedsores and diabetic wounds.

What to consider when purchasing a lateral rotation mattress?

Deciding if a Lateral Rotation Mattress system is a more appropriate choice than an Alternating Pressure Mattress? Please consider the following factors:

  1. 1. Is the Patient immobile?
  2. 2. Does the Patient predominately lay flat?
  3. 3. Does the Patient have significant respiratory issues?
  4. 4. Was a lateral rotation mattress recommended by a healthcare professional?

If the answer is YES to questions 1- 4, a Lateral Rotation Mattress System may be a more appropriate therapy. If the answer is NO, keep reading.

Lateral Rotation Mattresses are meant to be utilized in the predominately flat position.

If the head of the patient's bed is raised, the use of a lateral rotation mattress may increase fall risk. One may be able to incline these mattress systems slightly however, the fall risk increases with each degree of incline. This is especially true when someone does not possess the core strength needed to keep themselves seated up-right.

Imagine sitting up in bed and the mattress turns 40 degrees to one side. There is a higher chance that you may fall to one side. Worse yet, fall out of bed entirely. For patient safety...Lateral rotation mattress systems are designed to be used in the predominantly flat position!

Lateral Rotation Mattresses help move fluid in the lungs.

A Lateral rotation mattress rotates side to side to redistribute pressure in timed cycles to help prevent pressure injuries. That same lateral rotation helps move fluid in the lungs to reduce respiratory issues. If someone has both significant respiratory and skin breakdown concerns, a lateral rotation low air loss mattress system may be a more appropriate choice.

When an alternating pressure low air loss mattress system should be considered to prevent or treat pressure injuries?

  1. 1. The patient is receiving therapy when the head of the bed is raised.
  2. 2. The patient does NOT have significant respiratory issues.
  3. 3. A healthcare professional has recommended alternating pressure.

If the answer is YES to questions 1- 3, an Alternating Pressure Mattress may be a more appropriate solution to prevent pressure injuries, In addition, alternating pressure is a more cost-effective solution. 


IMPORTANT NOTE: The above are general statements. There are some exceptions, 

Both lateral rotation and alternating pressure mattress systems are excellent at preventing and treating pressure injuries....when matched to the patient's needs.

It is best to consult a medical professional while choosing the best therapy for wound prevention or treatment. For more product information please contact Comforts Best from 8 am - 11 pm est at 888 450-0045.

None of the information above is meant to diagnose or treat any condition. Always refer to your physician when seeking medical advice.

About the Author:

Jeff Adise has worked in the wound care industry for over 25 years. He is a product specialist and the developer of innovative therapeutic support surfaces for the treatment and healing of Stages I-IV pressure injuries in home recliners, lift chairs, wheelchairs, and beds. His innovative products are recommended for use by wound care specialists, physicians, caregivers,  across the US. In addition, Jeff is currently collaborating with a team of Doctors and Ph.D. researchers to develop and gain FDA approval for a groundbreaking new topical drug. The promising new drug has been shown to greatly improve the quality and speed of wound healing while reducing infection.

author jeff adise

Contact e-mail:
tel: 888 450-0045