Murderball was first introduced into Australia in 1982.[citation needed] The Australian team competing in the Stoke Mandeville games in England were invited by the Canadians to select a team to play them in a demonstration game. After receiving limited instructions on the rules and skills of the game the "contest" began. Following a fast and very competitive exchange, Australia won. The game was then born and brought back to Australia where it has flourished.

Murderball was introduced to the United States in 1979[2] by Brad Mikkelsen. With the aid of the University of North Dakota's Disabled Student Services, he formed the first American team, the Wallbangers. The first North American competition was held in 1982.

In the late 1980s, the name of the sport outside the United States was officially changed from Murderball to Wheelchair Rugby. In the United States, the sport's name was changed to Quad Rugby.

The first international tournament was held in 1989 in Toronto, Ontario, Canada, with teams from Canada, the United States and Great Britain. In 1990, Wheelchair Rugby first appeared at the International Stoke Mandeville Games as an exhibition event,[3] and in 1993 the sport was recognized as an official international sport for athletes with a disability by the International Stoke Mandeville Wheelchair Sports Federation (ISMWSF). In the same year, the International Wheelchair Rugby Federation (IWRF) was established as a sports section of ISMWSF to govern the sport. The first IWRF World Wheelchair Rugby Championships were held in Nottwil, Switzerland, in 1995 and wheelchair rugby appeared as a demonstration sport at the 1996 Summer Paralympics in Atlanta.

The sport has had full medal status since the 2000 Summer Paralympics in Sydney, Australia, and there are now twenty-five active countries in international competition, with several others developing the sport.