About the sport Table tennis has been included in the Paralympic Games since the inaugural Games in Rome, 1960.  However, it wasn't until the 2000 Games in Australia that athletes with an intellectual disability were included in competition.  Men and women compete in individual and team events either while standing or from a wheelchair. Eligibility While performing a variety of movements and skills, athletes are examined and depending on how well they execute these movements they are assigned a point score and assigned a classification rank.  Classifying athletes based on functional ability allows all athletes, regardless of their disability, an equal opportunity to compete against one another.   Modifications Aside from a few minor modifications, rules used to govern Paralympic competitions are the same as those for able-body table tennis competitions and are regulated by the International Table Tennis Federation.  There are a few rule modifications for wheelchair athletes:

In order to accommodate athletes with varying disabilities, equipment modifications have been created to give all athletes a chance to participate.  For example, strap-on paddles may be used for athletes with grip difficulties and players with minimal hand and wrist function may use a table tennis cuff, which allows a more natural and secure placement of the paddle in the hand.