This airbag works like an airbag. It's like a football under your head until you adjust the air pressure to your personal comfort level. I gave it four stars because the extra padding doesn't provide any comfort improvement but makes the packed size much larger than a straight air cushion. It is better to take an air cushion without filling and put a t-shirt over it. For what I paid, value adds to the rating otherwise I might have given it 3 stars.
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