The application discloses a method for monitoring a user gesture and a wearable device. The method comprises: providing an inertial sensor in a wearable device, the wearable device being located on the head of a user when being worn; monitoring movement data of the head of the user in real time, by using the inertial sensor, when the user is wearing the wearable device; conducting gesture solving by using the movement data to obtain gesture data of the head of the user; determining whether a head gesture of the user is a correct gesture according to the gesture data and a preset strategy; and sending a reminder to the user when the head gesture of the user is an incorrect gesture.