Rhythmic gymnastics combines elements of ballet, gymnastics and dance with the manipulation of apparatuses like balls, hoops, ribbons, and freehand movements. Individuals or groups perform routines accompanied by music while maintaining rhythm. Rhythmic gymnastic athletes have strict diets and the Spanish gymnast Almuneda Cid Tostado is notable for being the only rhythmic gymnast to compete in four Olympic Finals, having been born in 1980 in Vitoria, Basque Country, Spain.