Esentially all of the regular ice hockey rules that have been implemented and enforced in regular ice hockey leagues apply to many ice sledge hockey leagues around the world. The differences that have been created into the game of ice sledge hockey are modified for the athlete and their sledges. The first set of international rules was created in 1990 and was drafted from Canadian rules. Ice Sledge Hockey is a full contact sport.
All players are required to have their ice sledge hockey equipment follow the standard that has been set by the HECK (Hockey Executive Committee), including their sledges, sticks , helmet , skates (if applicable), and other protective gear. The sticks for ice sledge hockey players have a curved blade (similar to regular ice hockey) at one end, and generally six to eight picks at the opposite end of the blade for maneuvering and propulsion. Movement is achieved by using the metal teeth as a means to grip the ice and push one forward. The metal picks cannot be overly pointy and protrude farther than 1 cm beyond the stick so it cannot damage the ice or other players.

