The United States has been the top-ranking (medals) nation for eight Paralympic Summer Games: 1964, 1968, 1976, 1980, 1984, 1988, 1992 and 1996. China have been the top-ranking nation for the four most recent Games, 2004, 2008, 2012 and 2016. Italy (1960), West Germany (1972) and Australia (2000) have been the top-ranking nation one time each.