Just to share some of my humble knowledge and experience here,regulating a watch accuracy is not as easy as you read on paper,the +- on the balance wheel bridge is just of of many element which you need to take care when are regulating a watch accuracy.The most important thing is the beat error adjustment,beat error means the reaction between balance wheel and pallet fork escapement is perfectly align,without the proper adjustment of the beat error ,your watch will tend to stop easily and balance wheel will not rotate at equal force to left and right,therefore an inaccurate movement.the other thing which will affect the accuracy is magnetic influence,dirty cap jewel,exhausted balance shaft,damaged escapement pallet fork or escape wheel.
without time grapher,an experienced watch sifu can still tune the watch by just using a digital stopwatch.