Are there any guidelines for training a client with Cushings syndrome/disease?
Cushing's syndrome (CS) is a condition that results from an excess of cortisol, a hormone produced by the adrenal glands. The most common cause of Cushing's syndrome is Cushing's disease caused by excessive production of adrenocorticotropic hormone (ACTH) by the pituitary gland, often caused by a tumor. ACTH stimulates the adrenal glands to produce cortisol. CS can also be caused by the overuse of corticosteroids.
This can lead to brittle bones and the rapid release of adrenalin (if there is a tumor). I spoke with a doctor to discuss your answer. He said you need to be extremely careful with any training that involves high impact, aerobics, jumping, running, etc. We discussed some good types of exercise and stretching, which includes the following:
- Use corrective stretches and exercises to help maintain optimal posture.
- Try to minimize axial loading of the spine directly (squats holding a med ball rather than back squats).
- Ensure proper core recruitment (TVA, multifidus activation/lower ab strength, etc.).
- Get cardio from low impact sources (elliptical trainer, recumbent bike, step mill).
- Eliminate as much stress as possible as well as all caffeine and sugar. These all increase cortisol production
And of course, ALWAYS CONSULT A PHYSICIAN BEFORE ANY EXERCISE PROGRAM!
Best of Luck!