In artistic gymnastics, the "twisties" are a sudden loss of a gymnast's ability to maintain body control during aerial maneuvers, with the gymnast feeling something akin to an out-of-body experience in mid-air. Many gymnasts also reference a feeling of disorientation or unawareness of where the ground is. This increases the chance of a serious or critical injury occurring if the gymnast forgets in the moment how to land the maneuver safely. Simone Biles reportedly suffered from this condition during the 2020 Summer Olympics in Tokyo, causing her to withdraw from competition after the women's team all-around final; Biles later returned to perform a downscaled routine in the balance beam final, winning the bronze medal.