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Wheelchair rugby is called quad rugby. This sport was developed by 3 Canadians back in the 1970s and is now a Paralympics sport. It was originally called murder ball because it contained elements of basketball, football, ice hockey and was very aggressive in nature. The name was later changed to quad rugby and now it is played in over 36 countries.

Quad rugby involves a basketball court with 4 players on each team. There are goal lines drawn on each end and the game is played in 4 8-minute periods. Instead of a rugby ball, volleyball is tossed back and forth between players. One team must pass the ball into their opponents' side of the court within 15 seconds of making contact with the ball. Scoring a tri is like making a touchdown in football. The ball must enter the opponents' end zone in order to score points.

Another style of the sport is wheelchair tag rugby. This game is played indoors and teams of 3 use a medium-sized rugby ball. There's no official code of conduct for this game, as it is a game with elements from different sports melded together. Regardless, there still seems to be a consistent rule base practiced amongst wheelchair tag rugby players. To score a tri, the ball must enter a teams' end zone. Because this is a no contact sport, a tackle is made when a player touches the person carrying the ball or his/her chair. When this contact occurs, the tackler yells 'tag'. After 2 tags, the tackler takes possession of the ball.

There is also organized, more traditional wheelchair rugby in a league. This game shares many rules of a typical rugby league. A league rugby ball is used for play, it can only be passed backwards, there's a handover of the ball after 6 tackles and offside rules apply.