By Ella Waddell (OTD, 2027)
Dr. Nicole Gerhardt serves as the Research Therapy Manager at Jefferson’s Center for Outcomes & Measurement and as an Adjunct Teaching Assistant Professor in the Department of Occupational Therapy. Since joining Jefferson in May 2019, she has contributed across research and academic programs — including earning her PP-OTD in 2022.
As Research Therapy Manager, Dr. Gerhardt supervises research therapists, mentors students and staff, and supports projects across the Jefferson College of Rehabilitation Sciences (JCRS). She also teaches in the Post-Professional Occupational Therapy Doctorate (PP-OTD) program, mentors students in the entry-level program and serves as faculty advisor for Jefferson’s Pi Theta Epsilon chapter. She values the variety of her role and the opportunity to collaborate with students, research participants and an interdisciplinary team.
Dr. Gerhardt’s passion centers on neurorehabilitation, particularly with individuals who have spinal cord injuries (SCI) or acquired brain injuries (ABI). Under the leadership of Dr. MJ Mulcahey, she contributes to the development of a performance-based outcome measure designed to assess motor function — from fine motor skills to mobility — across all phases of SCI. This tool is being developed for potential use in clinical trials to more objectively evaluate motor restoration.
Her work also includes pediatric projects, such as adapting existing outcome measures to allow children with cerebral palsy to self-report their functional abilities. Additionally, she has served as a coach for caregivers of stroke survivors, helping them explore solutions through conversation-based support. That work has strengthened her belief in client-driven therapy and the power of empowering both patients and caregivers.
Dr. Gerhardt has also been an interventionist for the Nurosleeve project — an assistive orthosis that enables grasp and release for individuals with upper extremity impairments. She is preparing to support a new study focused on restoring upper extremity function following stroke.
She believes clinicians must understand the evidence behind outcome assessments and interventions. “Students and practitioners should develop a questioning attitude,” she says, encouraging them to seek research that supports their clinical decisions.
Her own clinical journey began in pediatric inpatient rehabilitation, where she treated children with ABI, cancer and orthopedic conditions. “It’s a wonderful setting to develop foundational skills, see quick gains and build strong therapeutic relationships,” she reflects. She later transitioned to post-acute care for adults with ABI, focusing on long-term recovery and helping clients regain independence through both restorative and compensatory strategies. “Occupational therapists working closely with a transdisciplinary team can facilitate community reintegration and independence.”
The COM team takes a hands-on, stakeholder-informed approach — collaborating with both clinicians and people with lived experience to ensure their tools and findings are meaningful in real-world settings.
As an educator, Dr. Gerhardt enjoys guiding students as they develop their research interests. She emphasizes the importance of applying research to practice, encouraging students to stay curious and open to evidence that challenges the status quo. “Students bring a fresh lens to clinical settings,” she says, “and they can spark conversations about best practices that lead to real improvements.”
She reminds students that research and clinical care are not mutually exclusive. “They complement each other,” she says. “Engaging with both can be incredibly fulfilling.”