Athletics has been contested at every Summer Paralympics since the first games in 1960. Men and women from all disability groups compete in the sport. Some athletes use wheelchairs or prosthetic limbs and compete in their respective sport independently and under their own power. In the first edition of the Summer Paralympic Games in 1960, Italy finished the sport in the first place of the medal table, between 1964 to 1996 there was a clear dominance of the United States, being broken in 2000, when Australia dominated the sport at home and since 2004, China has dominated the sport.