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. Features. Guide your Shiatsu massage exactly where you need it with the innovative joystick hand control Free-form moving massage mechanism moves up, down, right, or left Separate and adjustable Shiatsu mechanism for the shoulders Soothing heat for a more relaxing massage Rolling massage option can be customized for width or zone 6 custom programs for full, upper, or lower back massage