Cross Country Skiing appeared for the first time at the 1976 Winter Games in Örnsköldsvik, Sweden.
The competition is open to athletes with a physical impairment and visual impairment. Depending on functional impairment, a competitor with little or no leg functionality uses a sit-ski, a chair equipped with a pair of skis.
Athletes with blindness/visual impairment compete in the event with a sighted guide. Male and female athletes compete in short distance, middle distance and long distance (ranging from 2.5km to 20km) or participate in a team relay using classical or free techniques.