The bed rails we had came with the beds and were solid wood boards. I can't see any strangulation hazard there.
My youngest girl move around a lot in her sleep. IIRC, she was still falling out of bed from time to time when she was ~9. We would hear a loud THUMP, then hear her grumbling as she got back in bed.
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"Against stupidity the gods themselves contend in vain."
-- Friedrich Schiller
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