Wheelchair rugby is a team sport for athletes with a disability. It is practiced in over twenty-five countries around the world. The requirement that all wheelchair rugby players need to have disabilities that include at least some loss of function in at least three limbs was based on the original name of the sport “quad rugby”.

Wheelchair Rugby is a simple game with complex strategies for playing both offense and defense. It is played with a volleyball on a basketball-size court with goal lines marked by cones and a lined-off “key” area.

The object of the game is to score a goal (1 point) by crossing the goal line with possession of the ball while the opposing team is defending that goal. The team with the most points when time runs out wins.

Wheelchair rugby was created to be a sport for persons with quadriplegia in 1976 by five Canadian wheelchair athletes, Gerry Terwin, Duncan Campbell, Randy Dueck, Paul LeJeune and Chris Sargent, in Winnipeg, Manitoba.

At that time, wheelchair basketball was the most common team sport for wheelchair users. That sport’s physical requirement for players to dribble and shoot baskets relegated quadriplegic athletes, with functional impairments to both their upper limbs and lower limbs, to supporting roles. The new sport—originally called murderball due to its aggressive, full-contact nature—was designed to allow quadriplegic athletes with a wide range of functional ability levels to play integral offensive and defensive roles.

Murderball was first introduced into Australia in 1982. The Australian team competing in the Stoke Mandeville games in England were invited by the Canadians to select a team to play them in a demonstration game. After receiving limited instructions on the rules and skills of the game the “contest” began. Following a fast and very competitive exchange, Australia won. The game was then born and brought back to Australia where it has flourished.

Murderball was introduced to the United States in 1979 by Brad Mikkelsen. With the aid of the University of North Dakota’s Disabled Student Services, he formed the first American team, the Wallbangers. The first North American competition was held in 1982.

In the late 1980s, the name of the sport outside the United States was officially changed from Murderball to Wheelchair Rugby. In the United States, the sport’s name was changed to Quad Rugby.

The first international tournament was held in 1989 in Toronto, Ontario, Canada, with teams from Canada, the United States and Great Britain. In 1990, Wheelchair Rugby first appeared at the International Stoke Mandeville Games as an exhibition event, and in 1993 the sport was recognized as an official international sport for athletes with a disability by the International Stoke Mandeville Wheelchair Sports Federation (ISMWSF). In the same year, the International Wheelchair Rugby Federation (IWRF) was established as a sports section of ISMWSF to govern the sport. The first IWRF World Wheelchair Rugby Championships were held in Nottwil, Switzerland, in 1995 and wheelchair rugby appeared as a demonstration sport at the 1996 Summer Paralympics in Atlanta.

The sport has had full medal status since the 2000 Summer Paralympics in Sydney, Australia, and there are now twenty-five active countries in international competition, with several others developing the sport.

Wheelchair rugby is mostly played by two teams of up to twelve players. Only four players from each team may be on the court at any time. It is a mixed-gender sport, and both male and female athletes play on the same teams.

Wheelchair rugby is played indoors on a hardwood court of the same measurements as a regulation basketball court—28 meters long by 15 meters wide. The required court markings are a center line and circle, and a key area measuring 8 meters wide by 1.75 meters deep at each end of the court.

The goal line is the section of the end line within the key. Each end of the goal line is marked with a cone-shaped pylon. Players score by carrying the ball across the goal line. For a goal to count, two wheels of the player’s wheelchair must cross the line while the player has possession of the ball.

A team is not allowed to have more than three players in their own key while they are defending their goal line. Offensive players are not permitted to remain in the opposing team’s key for more than ten seconds.

A player with possession of the ball must bounce or pass the ball within ten seconds.

A team’s back court is the half of the court containing the goal they are defending; their front court is the half containing the goal they are attacking. Teams have twelve seconds to advance the ball from their back court into the front court and a total of forty seconds to score a point or concede possession.

Physical contact between wheelchairs is permitted, and forms a major part of the game. However, physical contact between wheelchairs that is deemed dangerous—such as striking another player from behind—is not allowed. Direct physical contact between players is not permitted.

Fouls are penalized by either a one-minute penalty, for defensive fouls and technical fouls, or a loss of possession, for offensive fouls. In some cases, a penalty goal may be awarded in lieu of a penalty. Common fouls include spinning (striking an opponent’s wheelchair behind the main axle, causing it to spin horizontally or vertically), illegal use of hands or reaching in (striking an opponent with the arms or hands), and holding (holding or obstructing an opponent by grasping with the hands or arms, or falling onto them).

Wheelchair rugby games consist of four eight-minute quarters. If the game is tied at the end of regulation play, three-minute overtime periods are played.

Much like able-bodied rugby matches, highly competitive wheelchair rugby games are fluid and fast-moving, with possession switching back and forth between the teams while play continues. The game clock is stopped when a goal is scored or in the event of a violation—such as the ball being played out of bounds—or a foul. Players may only be substituted during a stoppage in play.

Classification
To be eligible to play wheelchair rugby, athletes must have some form of disability with a loss of function in both the upper limbs and lower limbs.[6] The majority of wheelchair rugby athletes have spinal cord injuries at the level of their cervical vertebrae. Other eligible players have multiple amputations, polio, or neurological disorders such as cerebral palsy, some forms of muscular dystrophy, or Guillain–Barré syndrome, among other medical conditions.

Players are classified according to their functional level and assigned a point value ranging from 0.5 (the lowest functional level) to 3.5 (the highest). The total classification value of all players on the court for a team at one time cannot exceed eight points.

The classification process begins with an assessment of the athlete’s level of disability to determine if the minimum eligibility requirements for wheelchair rugby are met. These require that an athlete have a neurological disability that involves at least three limbs, or a non-neurological disability that involves all four limbs. The athlete then completes a series of muscle tests designed to evaluate the strength and range of motion of the upper limbs and trunks. A classification can then be assigned to the athlete. Classification frequently includes subsequent observation of the athlete in competition to confirm that physical function in game situations reflects what was observed during muscle testing.

Athletes are permitted to appeal their classification if they feel they have not been properly evaluated. Athletes can be granted a permanent classification if they demonstrate a stable level of function over a series of classification tests.

Wheelchair rugby classification is conducted by personnel with medical training, usually physicians, physiotherapists, or occupational therapists. Classifiers must also be trained in muscle testing and in the details of wheelchair rugby classification.