Closing the Evidence Gap in Cardiopulmonary Mobility

TICM is the translational institute within Texas Pulmonary Foundation, building clinical protocols, pilot frameworks, and decision-useful evidence for cardiopulmonary mobility technologies.

Texas Pulmonary Foundation

Texas Pulmonary Foundation

Research initiative • 501(c)(3) nonprofit

The Problem

Good Technology Stalls at the Evidence Gap

The barrier to clinical adoption is rarely the device. It is the evidence. Generated too slowly, sized for publication rather than regulatory decisions, and fragmented across studies that do not build on each other.

Enrollment bottlenecks

Relevant patient populations are unreachable through standard trial networks.

Misaligned endpoints

Data that earns a publication but cannot support a coverage decision or regulatory submission.

Fragmented evidence

Disconnected studies that produce volume without coherence. No study sets up the next.

Slow site activation

Months of institutional overhead before the first patient is enrolled.

Signature Thesis

A New Clinical Variable Requires a New Protocol Logic

Adjustable assistance changes the physiologic demand of walking, creating a progression variable that traditional rehabilitation evidence models were not built to handle. TICM exists to make that variable clinically usable and measurable.

Assistance Level Matters

Changing assistance shifts dyspnea, exertion, oxygen need, walking tolerance, and cardiopulmonary response in ways standard rehab protocols rarely isolate clearly.

Progressive Locomotor Deloading

TICM frames assistance as a progression tool: more support when tolerance is limited, less support as physiologic capacity, endurance, and overground performance improve.

ALPP

The Assisted Locomotor Progression Protocol is TICM's structured method for adjusting assistance in response to physiologic tolerance, turning promising devices into practical clinical progression logic.

Our Model

Designed around the bottleneck

Every structural decision at TICM reflects one goal: generate evidence that actually moves a technology toward clinical adoption.

01

Clinical Access

Operating within active cardiopulmonary and rehabilitation settings, reaching the populations standard trial networks miss.

02

Lean Study Design

Studies sized to where a technology actually is, generating evidence for the next decision rather than the largest defensible trial.

03

Decision-Grade Endpoints

Outcomes selected to persuade across peer review, regulatory submission, and payer evaluation in a single study.

Foundation

Clinician-led. Embedded in practice.

Study design stays grounded in clinical realities because TICM operates inside them, not alongside them.

Clinical Research Home

Breathing Center of Houston

High-volume cardiopulmonary care | Houston, TX

01

Clinical Settings

Research conducted within active cardiopulmonary care, not adjacent to it.

02

Patient Access

Populations reached through established clinical relationships, not referral chains.

03

Endpoint Design

Publication, regulatory, and payer utility structured into every study.

Get Involved

If the evidence is the barrier,
this is where to start.

Cardiopulmonary mobility is one of the most consequential and least-evidenced areas in rehabilitation and assistive technology. TICM was built for this conversation.