TrishaPDX,

You wrote:

"Jan just completed several months of forced cadence therapy in Portland, Oregon at OHSU. Her response was marvelous."

This is great news.

I'm unsure where the state of the art is with respect to forced exercise.

I'll be grateful if you would explain what the forced cadence involved?

There's a number of things it could be anywhere on a spectrum:
- passive, a machine or human helper moves your limbs for you at this rate;
- active, all the energy input comes from your limbs.

The distinction that I'm interested in is the difference between sitting at the back of a tandem with your feet turning with the pedals at a fast rate, but doing no work, and actively powering the machine by turning your feet at the same rate, but inputting energy.

Was it the cadence that was important or the exercise?

Thanks.

John