Objective To study the effect of wearable exoskeleton rehabilitation robot combined with Bobath technology on gait, balance ability and FMA score of lower limb movement in hemiplegic patients with stroke.Methods 78 patients with stroke hemiplegia admitted to our hospital from November 2020 to November 22 were randomly divided into the observation group and the control group according to the digital list method, with 39 patients in each group. The control group was given Bobath technical training, and the observation group was given wearable exoskeleton rehabilitation robot training on the basis of the control group, with 8 weeks of intervention. The gait parameters (gait frequency, pace, stride length ratio), balance ability ［Berg balance scale (BBS)］, lower limb motor function ［simplified Fugl-Meyer function scale (FMA)］, activity of daily living (modified Barthel index (MBI)］, and lower limb muscle strength recovery (hip flexion and knee extension) were compared before and after the intervention. Results Before intervention, there was no significant difference between the two groups (P＞0.05). After intervention, the step frequency, step speed, stride length ratio, BBS score, lower limb FMA score, MBI score, hip flexor strength, knee extensor strength of the two groups were significantly higher than those before intervention (P＜0.05)The step frequency, step speed, stride length ratio, BBS score, lower limb FMA score, MBI score, hip flexor strength, knee extensor strength of the observation group were higher than those of the control group (P＜0.05). Conclusion Wearable exoskeleton rehabilitation robot combined with Bobath technology can improve the gait and balance ability of stroke hemiplegic patients, promote the recovery of lower limb motor function, improve the ability of activities of daily living, and enhance the lower limb muscle strength of patients