Ice sledge hockey is the Paralympic version of ice hockey. It debuted at the 1994 Winter Paralympics in Lillehammer, and has fast become one of the most popular attractions at the Winter Paralympics. A fast-paced and contact heavy competition, Ice Sledge Hockey is played by athletes with a disability in the lower half of their body. It follows the rules of the International Ice Hockey Federation (IIHF) with modifications; athletes wear double-blade 'sledges' instead of skates, which are designed so that the puck can pass beneath them. They hold one stick in each hand, one with a spike-end for pushing, and the other with a blade-end for shooting.