There was a good bit by Joanna Stern in the Wall Street Journal where she hired a professional stuntwoman; she was unable to trick the watch into thinking she had fallen, but the stuntwoman was able to by taking some hard falls.
I can think of a lot of things you can do that will make the portion of your body that the watch is attached to take a really hard hit. How does it not have a high false positive rate?
It's probably more about instantaneous acceleration. Nothing you can do with your own two arms and legs will ever cause you to experience a deceleration as hard as what happens when you fall from a standing position onto a hard surface. (Unless you ran full-tilt into a brick wall, I suppose.)
My understanding is they are very specific about this not being able to detect heart attacks - hence why I'm hesitant to speculate about the exact sequence of events above