INTRODUCTION: With the rapid development of artificial intelligence technology, wearable artificial intelligence devices show great potential in medical rehabilitation. This study explores the Real Time monitoring effect of AI wearable devices in the rehabilitation process of track and field athletes. The application of this technology in rehabilitation monitoring was investigated through the introduction of advanced sensing technology and data analysis algorithms to provide track and field athletes with more scientific and personalized rehabilitation programs. OBJECTIVES: A group of track and field athletes was selected as the research object and equipped with an artificial intelligence wearable device, which is capable of Real Time monitoring of the athletes' physiological parameters, sports postures, joint mobility, and other rehabilitation-related data. An individualized rehabilitation model was established through the data collected by these sensors, and advanced artificial intelligence algorithms were used to analyze the data in Real Time. At the same time, the sensor data were combined with the actual performance of the athletes' rehabilitation training to comprehensively assess the effectiveness of AI wearable devices in rehabilitation monitoring. METHODS: This study aims to assess the effect of Real Time monitoring of AI wearable devices in the rehabilitation of track and field athletes and to explore their potential application in the rehabilitation process. Real Time tracking of athletes' physiological status and athletic performance aims to provide more accurate and timely information to rehabilitation doctors and coaches to optimize the rehabilitation training program and promote the rehabilitation process of athletes. RESULTS: The study showed that artificial intelligence wearable devices have significant Real Time monitoring effects in rehabilitating track and field athletes. Through Real Time monitoring of data such as physiological parameters, sports posture, and joint mobility, the rehabilitation team was able to identify potential problems and adjust the rehabilitation program in a more timely manner. Athletes using artificial intelligence wearable devices improved the personalization and targeting of rehabilitation training, and the rehabilitation effect was significantly better than that of traditional monitoring methods. CONCLUSION: This study concludes that artificial intelligence wearable devices perform well in rehabilitating track and field athletes, providing a more scientific and comprehensive means of rehabilitation monitoring. Through Real Time tracking, the rehabilitation team could better understand the rehabilitation progress of the athletes, adjust the rehabilitation program in a targeted manner, and improve the rehabilitation effect. However, future research still needs to optimize the performance of the devices further, expand the sample size, and thoroughly study the monitoring needs at different stages of rehabilitation to better meet the individualized requirements of track and field athletes' rehabilitation process.