Ice sledge speed racing at the 1998 Winter Paralympics consisted of sixteen events, eight for men and eight for women.
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | 9 | 12 | 11 | 32 | |
| 2 | 7 | 4 | 5 | 16 | |
| Totals (2 entries) | 16 | 16 | 16 | 48 | |
| Event | Gold | Silver | Bronze |
|---|---|---|---|
| 100 m LW10 | Yutaka Takeda | Akio Okuhara | Uno Frantzen |
| 100 m LW11 | Knut Lundstrøm | Yoshihisa Yamaguchi | Lars Andresen |
| 500 m LW10 | Yutaka Takeda | Uno Frantzen | Akio Okuhara |
| 500 m LW11 | Knut Lundstrøm | Tadashi Kato | Yoshihisa Yamaguchi |
| 1000 m LW10 | Yutaka Takeda | Uno Frantzen | Toshiki Watanabe |
| 1000 m LW11 | Knut Lundstrøm | Tadashi Kato | Hiroyuki Nakamura |
| 1500 m LW10 | Toshiki Watanabe | Yutaka Takeda | Uno Frantzen |
| 1500 m LW11 | Knut Lundstrøm | Hiroyuki Nakamura | Tadashi Kato |
| Event | Gold | Silver | Bronze |
|---|---|---|---|
| 100 m LW10 | Tone Edvardsen | Miki Matsue | Yoshie Kanai |
| 100 m LW11 | Anne Mette Samdal | Wakako Tsuchida | Kyoko Okuyama |
| 500 m LW10 | Miki Matsue | Tone Edvardsen | Yoshie Kanai |
| 500 m LW11 | Anne Mette Samdal | Wakako Tsuchida | Kyoko Okuyama |
| 1000 m LW10 | Miki Matsue | Tone Edvardsen | Yoshie Kanai |
| 1000 m LW11 | Wakako Tsuchida | Kyoko Okuyama | Lene Tystad |
| 1500 m LW10 | Miki Matsue | Yoshie Kanai | Tone Edvardsen |
| 1500 m LW11 | Wakako Tsuchida | Kyoko Okuyama | Akemi Kuwahara |