No kidding. The emphasis on forced made it a little confusing. It seems extremely likely that the "forced" can be internal. When I'm at CrossFit, the criteria of the workout force me to exert much more strenuously than I'm comfortable with.
> In one study from 2008, rats forced to run wound up with significantly more new brain cells after eight weeks than those who ran when they chose, even though the latter animals ran faster.
a most unpleasant way to die!