A smart medical rehabilitation device comprises a driving unit, a linkage unit, a sensing unit and a rehabilitation evaluating unit that are mounted on a frame, wherein the linkage unit comprises a link mechanism and a slide mechanism linked thereto so that the slide mechanism can be moved together with the link mechanism, wherein the slide mechanism is driven by the driving unit to slide along the groove plate, the link mechanism is linked to move with the slide mechanism thus the link mechanism moves to the corresponding position so that the slide mechanism can assist a training object in performing lower limb rehabilitation training, and the rehabilitation evaluating unit evaluates the physical status and rehabilitation status of the training object according to the physiological information and exercise information of the same collected by the sensing unit, and adjusts the exercise frequency and the exercise duration of the training object according to the physical status in real time.