Falls and Ankle Rolls in 227 Distance Trail Runners: Incidence and Contributing Factors Including Neurocognitive Function

Key Points

• Falls and ankle rolls occurred frequently during trail races, especially in faster, technical settings.
• The study observed a notable incidence rate of falls but limited impact from neurocognitive performance.
• Observational analysis highlights the multifactorial nature of injury mechanisms in trail running, including pace and terrain.
• This suggests that improving cognitive and motor accuracy may have limited benefits for reducing fall risk in trail events.