Athletes compete in manual wheelchairs that are specifically built for the sport. The rules include detailed specifications for wheelchairs to ensure safety and fairness. In international competition, all wheelchairs must meet these requirements.
To begin playing, any manual wheelchair may be used, although the game is easier when played in a lightweight sports wheelchair such as a wheelchair basketball chair.
The game is played with a white ball, similar to a volleyball. Four cones, pylons, or markers are used to mark the goal lines. A game clock is also required; any clock used for basketball, handball, or other similar sports will be sufficient.