All Para cyclists start at the same time and must complete a number of laps in a circuit of 7 to 10 kilometers long. In time trial events, Para athletes start individually in intervals of 60 seconds. It is a race against the clock. The winner is determined by different factors according to the impairment.
Para cycling got its start with athletes with visual impairment competing on tandem bikes. Currently, this sport also features Para athletes with physical impairment, cerebral palsy and amputations competing on bikes. This Para sport made its debut at the Mar del Plata 2003 Parapan American Games.