A vehicle seating assembly includes a frame having first and second side members. A seatback and a head restraint are supported on the frame. A paddle includes a lower pivot rod pivotally coupled between the first and second side members of the frame. The paddle is disposed proximate a top portion of the seatback, below the head restraint. A bladder is disposed between the paddle and the frame and is operable between an inflated condition, wherein the paddle is pivoted forward to support one of the upper back and neck of an occupant, and a deflated condition, wherein the paddle is pivoted rearward into the seatback.