Systems and methods are provided for regulating pressure, temperature, and/orhumidity at a support surface for a userof a wheelchair Exemplary systems include an adaptable cushion systemincluding at least one cushion having a plurality of pressurizedzones, at least one sensor configured to determine pressure at a firstpressurized zone, and a controller configured to control an air pumpat the first pressurized zone The air pump is configured to regulate pressureat the first pressurized zone.