This was in the running notebook of the 02/19/09 Houston Chronicle.

If you run, sooner or later you will fall down.

"I always say there are two types of runners: those that have fallen down
and those that haven't fallen yet," said Terrie Gorney, head coach of Fort
Bend Fit.

While most falls result in nothing more serious than a skinned knee and
passing embarrassment, an unexpected tumble can sideline a runner with more
serious problems such as a sprained ankle or broken wrist. But proper form
and knowing what to do when you feel yourself starting to hit the dirt - or
the concrete - can reduce risk of injury.

Mindy Solkin, owner and head coach of the Running Center in New York, says
good balance is essential to staying upright. Solkin has her clients perform
these exercises to strengthen balance:

Leg up
. . Standing straight, raise your right leg off the ground in front of you,
bending it at the knee so your upper leg is parallel to the ground. Your
foot should face straight ahead so it is also parallel to the ground. Hold
for 15 to 30 seconds, then repeat with the other leg.

. . Standing straight, raise your right leg, keeping your knee down, so your
lower leg extends behind you, parallel to the floor. Again, keep your foot
flexed, so it is perpendicular to the floor. Hold for 15 to 30 seconds, then
repeat with the other leg.

Work up to holding those poses for two minutes. When you're proficient,
start doing them on a balance board. Solkin says the goal is to eventually
be able to combine the two exercises into what she calls a "knee up and knee
down" sequence, so that it appears you are running on one leg. It's easier
than it sounds. "It's a bit like tapping your head and rubbing your belly.
The beauty of it is to get good at it," she said.

"You're really mimicking running form," Solkin explained. "In long-distance
running, a flexed foot is important. I tell runners, 'Keep your levers
short.' Joint-to-joint is a lever. You don't ever want to be a ballerina,
with a pointed toe. They want to extend their levers to look longer. We want
to decrease it."

Good running form, though, is more than physical, Solkin says. It's also
mental. "People are not thinking, and that's why they're falling."

Solkin teaches her clients about "mindfulness," which she defines as "having
an awareness within your body."

To that, she adds "wherewithal" of surroundings and environment. That is,
perhaps, knowing where your foot is in relation to that hole in the
pavement, protruding tree root or sidewalk curb.

"Around the fall (when it's darker) and at the Huntsville park (trail)
races, we always warn people: Look up, go down!" Gorney said.

Like an obstacle course
But pavement holes, protruding tree roots and sidewalk curbs are hard to
avoid if you run outdoors, and even the most aware runner can be tripped up.

So it helps to know how to fall correctly. Gorney broke her elbow when she
tried to stop a fall in the street by putting her arms straight in front of
her.

"My technique now is to try to tuck in and go for the side roll," she
explained.

Most importantly, protect your head, Solkin said.

"If you can kind of split your leg, the wider your stance will be and the
better your balance," she said. That balance might give you an additional
second to turn one shoulder toward the ground.

Though your first impulse will be to fight gravity, gravity will win every
time. So you might want to enlist some help, said Solkin, by reaching out to
grab someone if they're nearby.

"I'm not suggesting you take someone down with you, but you can use them as
a stabilizer," Solkin said. "You're both probably not going to fall."