Simone Biles has pulled out of two further events at Tokyo 2020, USA Gymnastics has confirmed. The American superstar was involved in just one rotation of Tuesday's women's team final, in which she registered the lowest score, before sitting out the rest of the event.
It was later confirmed she would also not defend the individual all-around title she won at Rio 2016 in order to focus on her mental health.
On Saturday, USA Gymnastics confirmed Biles – a four-time gold medallist at Rio – will now not take her place in the finals of the vault and uneven bars, with further decisions to be taken on her participation in the floor and balance beam finals.
A statement from the governing body read: "After further consultation with medical staff, Simone Biles has decided to withdraw from the event finals for vault and the uneven bars. She will continue to be evaluated daily to determine whether to compete in the finals for floor exercise and balance beam.
Earlier this week, Biles took to Instagram to explain how her body and mind are "simply not in sync" and attempted to describe the different aspects that go into performing at the highest level when dealing with a mental block.
"For anyone saying I quit, I didn't quit, my mind and body are simply not in sync as you can see here," Biles wrote on her story. "I don't think you realise how dangerous this is on a hard/competition surface. Nor do I have to explain why I put health first. Physical health is mental health.
"It's honestly petrifying trying to do a skill but not having your mind [and] body in sync.
"Literally cannot tell up from down. It's the craziest feeling ever, not having an inch of control over your body."
USA Gymnastics said MyKayla Skinner, who had the fourth highest score in qualification, will compete in the vault finals alongside Jade Carey.