Since the 1984 Paralympic Games, co-hosted by Stoke Mandeville in England and New York, road cycling athletes have competed in time trials and resistance events.
Road events are held for men and women, and for all functional categories. There are events for athletes with a visual impairment, identified by the letter B (blind), who use tandem bikes with a rider without a disability acting as pilot - similar to what happens in athletics - and for amputee athletes, whose categories are shown by the letter C and who have equipment with prosthetics or specific adaptations to change gears or to brake.
Cyclists with cerebral palsy also compete, using tricycles - the letter T indicates events in this category - with two wheels at the rear. As these cyclists have greater impairment of motor functions and balance, tricycles provide them greater safety and facilitate better performance. There are also events with handcycles for people with tetra and paraplegia, identified by the letter H.
As with Olympic cycling, the sport's rules are determined by the International Cycling Union (UCI), but the organisation of the sport is the responsibility of the International Paralympic Committee (IPC).