With the aging of the population and the increase of various chronic diseases, there is a growing demand for effective and accessible medical rehab solutions. In order to overcome the above problems, this project innovatively adopts the gesture recognition technology to design and fabricate the realization of an autonomous accurate medical rehab gesture recognition assistance system. In terms of hardware, this paper uses Arduino as the main controller, Paj7620 as the gesture recognition device, and OLED 0.96 display as the system display. In terms of software, this paper utilizes Arduino IDE software to successfully write the code and realize all the functions. In terms of combining with actual medical rehab needs, the team chose elbow fracture rehab as a typical type of rehab, and designed a three-device obtuse triangle placement scheme for precise monitoring of rehab training. Initial simulation test results show that over 70% of participants reported an improvement in their rehabilitation outcomes, and about 90% found the system easy to use. The results of this project will directly benefit patients requiring long-term rehabilitation.