Respiratory health experts

All of our researchers have common interest in applied respiratory research:

Dr Vicky MacBean Dr Vicky MacBean
Email Dr Vicky MacBean Senior Lecturer in Physiotherapy
Experienced paediatric respiratory and critical care physiotherapist; research interests in respiratory physiology and interdisciplinary research Novel physiological techniques for assessment of respiratory function, particularly in paediatric and critical care settings Respiratory muscle function Respiratory complications of neuromuscular disease Critical care rehabilitation Respiratory load perception Respiratory muscle training Interdisciplinary research, including the arts in healthcare Respiratory and critical care medicine; physiology; paediatrics Module lead for Critical care modules - BSc (Hons) & MSc (pre-registration) Physiotherapy courses MSc Advanced Clinical Practice/Advanced Professional Practice: Module lead for PH5611 The Dissertation Project supervision for BSc, MSc pre-registration and MSc Advanced Clinical Practice/Advanced Professional Practice dissertations Teaching contributions to Advanced Clinical Practice/Advanced Professional Practice Critical Care specialist pathway modules
Dr Elmar Kal Dr Elmar Kal
Email Dr Elmar Kal Senior Lecturer in Physiotherapy
I have a BSc (2011) and MSc (2012; cum laude) in Movement Science, both from the Faculty of Behavioural and Movement Sciences at the Vrije Universiteit Amsterdam in The Netherlands. For my PhD project I was employed at a specialist rehabilitation centre (Heliomare) in the Netherlands, studying the impact of implicit learning interventions on the rehabilitation of balance and gait in people after stroke. I successfully defended my thesis in November 2018. I joined Brunel in 2019. My research is focused on better understanding the cognitive and psychological processes that underpin motor control and learning, and to use this knowledge to improve motor functioning in aging and neurological populations (stroke, Parkinson’s). Two main themes in my research are: (1) The use of motor learning principles in (re-)learning of balance and gait tasks in different clinical populations. This includes the use of weight-shifting strategies to reduce freezing of gait in people with PD, as well as the use of implicit motor learning techniques as part of Physical Education of children. (2) The role of anxiety and associated changes in attention in unexplained dizziness in older adults.This includes the use of virtual reality to study the effects of standing at a (virtual) height on fear of falling, associated discrepancies in perceived (self-reported) and actual (sway on force platform) balance, and potential neural and muscular control changes that could help explain such discrepancies - and provide options for interventions. In terms of approach, I combine basic science (assessments of brain activity (using fNIRS, EEG), kine(ma)tics of movement (using force plates, 3D movement analysis), and muscular control (EMG)) with clinically applied research (e.g., using clinical outcomes and assessment methods). I have experience with a host of the methodological approaches (systematic reviews, observational studies, experimental studies, RCTs, validation studies) which gives me flexibility in studying these topics. Two key areas of interest are: 1) The use of motor learning principles in (re-)learning of balance and gait tasks in different clinical populations 2) The role of anxiety and associated changes in attention in unexplained dizziness in older adults. In terms of approach, I strive to combine basic science (assessments of brain activity (using fNIRS, EEG), kine(ma)tics of movement (using force plates, 3D movement analysis), and muscular control (EMG)) with clinically applied research (e.g., using clinical outcomes and assessment methods). I have experience with a host of the methodological approaches (systematic reviews, observational studies, experimental studies, RCTs, validation studies) which gives me flexibility in studying these issues. Pre-registration MSc/BSc Physiotherapy HH5819 - Dissertation Module (module lead) HH1604 / HH5602 - Rehabilitation 2 (tutorials on motor learning & gait analysis) PH5640 - Research Methods for Health Sciences (tutorials on applied statistics using JAMOVI) Advanced Clinical Practice PH5603 - Quantitative Methods and Design for Health Science Research (tutorials on applied statistics using JAMOVI) PH5630 - Neurophysiological Basis for Rehabilitation of Movement (tutorial on influence of attention and fear on movement control and learning)
Dr Lee Romer Dr Lee Romer
Email Dr Lee Romer Reader - Human and Applied Physiology
Dr Lee Romer is a Reader in Human and Applied Physiology at Brunel University of London. His research examines how respiratory function influences exercise tolerance in health and disease. Following his undergraduate and postgraduate studies at Brunel, Dr Romer worked as a physiologist at the British Olympic Medical Centre before undertaking his doctoral research at the University of Birmingham. He subsequently completed post-doctoral research at the John Rankin Laboratory of Pulmonary Medicine, University of Wisconsin–Madison, USA, before returning to Brunel in 2004. He was appointed Reader in 2009 and served as Head of Department (formerly Division) of Sport, Health and Exercise Sciences from 2014 to 2018. Dr Romer has authored more than 100 journal articles, invited reviews and book chapters, including contributions to publications associated with the American College of Sports Medicine, American Physiological Society, American Thoracic Society and International Olympic Committee Medical Commission. He is currently Senior Editor of Experimental Physiology and has held editorial positions with several other international journals. He is a Fellow of the American College of Sports Medicine and The Physiological Society and an Honorary Fellow of the Chartered Association of Sport and Exercise Sciences. His work has attracted more than 9,000 citations, with a Google Scholar h-index of 47. Dr Romer’s research centres on the physiological mechanisms through which the respiratory system can limit exercise tolerance in health and disease. His work has examined the integrated contribution of respiratory muscle function, respiratory muscle work, ventilatory mechanics and pulmonary gas exchange to exercise performance, spanning both fundamental mechanisms and their relevance to athletic and clinical populations. His early research demonstrated the susceptibility of the respiratory muscles to fatigue and established important physiological mechanisms underlying the benefits of inspiratory muscle training. This work subsequently extended to the cardiovascular consequences of respiratory muscle work and fatigue, including the respiratory metaboreflex and its effects on blood flow and fatigue in the locomotor muscles. His research has also investigated pulmonary gas exchange, exercise-induced arterial hypoxaemia and the effects of altered oxygen transport on peripheral and central mechanisms of fatigue. Related work has examined respiratory responses to exercise in athletes with spinal cord injury and during upper-body exercise in able-bodied individuals, including the interaction between respiratory and postural demands. More recently, his research has focused on the contractile function of the respiratory muscles through the development and application of diaphragm ultrasonography and multimodal approaches. This work has included the assessment of respiratory muscle contractile properties and their integration with respiratory mechanics and neural respiratory drive, alongside research examining sex- and age-related differences in respiratory function and exertional dyspnoea. Together, these studies seek to advance understanding of how respiratory muscle function and respiratory system constraints influence exercise tolerance and the experience of breathlessness across different populations and physiological conditions. Dr Romer’s research has involved collaborations with investigators and research groups in the UK, Canada, USA and Europe. He has secured research support through competitive grants, fellowships, studentships and collaborative awards from organisations including UK Sport, ParalympicsGB, the Canadian Lung Association, The Royal Society, The Physiological Society, NSERC Canada and Mitacs. He has also delivered numerous invited presentations at international scientific and professional meetings, including keynote lectures and symposium presentations for organisations such as the European Respiratory Society, The Physiological Society and the American College of Sports Medicine. Dr Romer has contributed to undergraduate, postgraduate and doctoral education at Brunel University since 2004, across physiology, exercise science and related disciplines. He has led and contributed to teaching across undergraduate and postgraduate programmes, including the development and delivery of practical and research-led teaching in human exercise physiology. He currently leads the Level 6 Physiological Limitations to Exercise Performance module and contributes to teaching, assessment and academic development across the curriculum. He is a Fellow of the Higher Education Academy, and his teaching has received institutional recognition, including student-led teaching awards at College and University levels. Dr Romer has supervised and mentored doctoral researchers, research assistants and early-career researchers across a range of physiological disciplines. His former doctoral researchers have progressed to academic, clinical, research and industry positions internationally, with several receiving prestigious awards, scholarships and fellowships. His doctoral supervision has included students supported by competitive internal and external scholarships. He has also contributed extensively to academic quality assurance and assessment beyond Brunel through doctoral examination, external examining of taught programmes and external programme review in the UK and internationally. He has served as an External Examiner at King's College London, Imperial College London, University of Birmingham and Loughborough University, covering programmes in sport and exercise science, physiology and medicine. His educational expertise has also informed engagement with elite sport, professional organisations and professional education. He has provided physiological consultancy and advice to UK Sport, ParalympicsGB and the English Institute of Sport, including contributions to the development of physiological services for GB governing bodies, and has contributed to professional standards in the sport and exercise sector through technical evaluation and occupational-standard development with SkillsActive. He has further contributed to professional education through invited teaching and specialist courses in respiratory and exercise physiology, including as faculty for the annual Cambridge–UCLA Symposium on Clinical Exercise Testing and Interpretation. His advisory work has included engagement with organisations such as the European Lung Foundation, as well as contributions to professional resources addressing physical activity and respiratory disease. Collectively, these activities have enabled him to apply and disseminate his teaching and physiological expertise across higher education, professional education, elite sport and the wider health and exercise sectors.
Dr Claire Nolan Dr Claire Nolan
Email Dr Claire Nolan Senior Lecturer in Physiotherapy
Dr Claire Nolan is a Senior Lecturer in Physiotherapy in the Department of Health Sciences and an NIHR Advanced Fellow with clinical expertise in pulmonary rehabilitation. Dr Nolan completed her PhD in Imperial College London in 2018 on gait speed and prognosis in idiopathic pulmonary fibrosis. Dr Nolan’s research interests include strategies to increase engagement in and alternative models of rehabilitation programmes for people living with chronic lung conditions and multiple long-term conditions. She has expertise in intervention co-design, mixed-methodologies, as well as feasibility and randomised controlled trials. Dr Nolan is Chair Elect of the American Thoracic Society Pulmonary Rehabilitation Assembly Programme Committee, a committee member of the NHSE National Respiratory Programme and the British Thoracic Society Quality Standards for Pulmonary Rehabilitation committee, and Impact Champion for the Department of Health Sciences, Brunel University. Dr Nolan's research interests include strategies to increase engagement in and alternative models of rehabilitation programmes for people living with chronic lung conditions and multiple long-term conditions. She has expertise in intervention co-design, mixed-methodologies, as well as feasibility and randomised controlled trials. Dr Nolan's current areas of research include: - Co-design and testing of Very Brief Advice for pulmonary rehabilitation - Co-design of a financial incentive intervention to increase engagement with pulmonary rehabilitation - Non-inferiority randomised controlled trial comparing pulmonary rehabiltiation delivered using minimal versus specialist equipment in people with chronic respiratory disease - Randomised controlled trial comparing SPACE for COPD to usual care following pulmonary rehabilitation