The present invention provides a method of optimizing a pressure contour of a pressure adjustable platform system by (a) measuring pressure in a plurality of bladders in the pressure adjustable platform system; (b) assessing whether a change in pressure in one or more of the plurality of bladders occurs; (c) determining whether a subject on the pressure adjustable platform system has adjusted position, moved or tossed; (d) generating an adaptive sleep algorithm; and (e) adjusting the pressure in one or more bladders.