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21 Any deviations from midline in head, trunk, leg, foot position, or asymmetries in arm position or weight bearing gives 0 point each and symmetric, neutral position gives 1 point each with a total score of 0 to 6 points where a maximum score of 6 points indicates full symmetry (for items see Table 2).
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An overall asymmetry score (sum of the absolute vales of deviation from midline for D1-D6) and an overall masculinity score ([JH/LFH+LFH/FH]-[ChP+ FW/LFH]) were calculated.
The primary outcome measure was the accuracy of tracheal puncture, defined as less than 30° deviation from midline and appropriate longitudinal puncture between the first and fourth tracheal rings.
This is supported by the subtle changes in line bisection experiments of AP patients; like patients with chronic pain, they also showed right-sided bias in deviation from midline.
Rudas and colleagues demonstrated that the use of RUSG was more likely to result in a successful first pass (87% first pass success versus 58%; P = 0.028) as well as a puncture closer to the midline (mean deviation from midline 15 ± 3 versus 35 ± 5 degrees; P = 0.001) [ 27].
Some deviation from the midline is usually present most of the time.
On the other hand, in patients with bipolar spectrum disease who fail to respond to lithium and require stabilization with neuroleptics (Fig. 2) or lamotrigine (Fig. 3), some deviation from the midline is usually present most of the time Fig. 2 Mood ratings in clinical remission for responders to atypical antipsychotics (AAP).
In these patients, even when in clinical remission, some deviation from the midline (the point that the patient considers where his/her normal mood is) is usually present most of the time Fig. 3 Mood ratings in clinical remission for responders to lamotrigine (LTG).
Briefly, symmetry was calculated by taking left and right deviation from the midline, calculated from inter-pupillary distance, for points and then summing the absolute value of individual scores.
The deviation from true midline was calculated in percent of the line length.
Using the aligned protractor, we recorded the deviation from the midline in degrees.
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