I intentionally didn't bring up physical limitation because its a very small percentage who have such limitations. And as was said above, alot of those issues aren't physical they're fitment of your gear. When I first learned doubles I couldn't do a valve drill and swore it was poor shoulder mobility. It was 100% purely technique and less than ideal bp/w and doubles set up
Reaching back and over your shoulder is a really hard thing to do and is easily impossible if you've got shoulder problems be that from an accident, congenital problems or age. Conversely reaching forwards to twiddle a sidemount valve near your chest is easy for virtually everyone.
Proof: have you ever had a valve jam on backmount that required you to get someone else to turn the knob because you don't have the purchase...? I have.
Sidemount however is right in front of you and you can pull the cylinder forward or unclip the bottom clip and really wrench the valve if necessary. You can even reseat the valve if it's leaking and you could even remove the regulator in extremis.
Backmount is a royal pain in the backside for any of that. You can barely reach the damn valves and need to do constant practice to do shutdowns. It's just plain horrible in comparison with the ease of sidemount.
So, for all your backmount practice -- beloved of the followers of DIR -- you need a little more practice to kit up in sidemount. Not a lot of effort required, just learning how to throw on the harness, attach the cylinders in sequence, breathe, and jump in. All that tosh about sidemounters being wider is just nonsense -- it's no worse than someone carrying deco/bailout stages.
But to counter that point, there are more and more boats banning sm divers for simple ow dives because they take up more space, tend to be more of a hassle to deal with, and the number of horrible sm divers that annoy captains are increasing.
Struth. Obviously miserable skippers who don't want customers.
Most of the sidemount divers I've seen are what we call "competent". It's like generalising that all backmount people are useless, or rebreather divers being plonkers.
Anyway, sidemount's great as the kit's more separate than the mono-lump of backmount. Sidemount's definitely better for people who have problems carrying the kit, especially up steps (our tidal range is 6m/18ft and climbing up a steep gangway is hard work. Climbing up a hill or over a shingle beach is a serious undertaking -- backmounted 12's/80s weighing in at over 50kg/110pounds plus.
Oh, and sidemount's an absolute delight in the water with superb trim. Backmount has that damn great keel weight on your back; turn sideways and you're over, same with head down as you can invert. Sidemount you can swim at just about any angle, even sideways, on your back, face down...
All my primary cylinders are steel, especially sidemount. The floaty ali80's need loads more lead to sink them.
There's one disadvantage of sidemount and that's mounting stages. One deco stage is OK, two are difficult, but doable with a little practice. Will concede that backmount and backmounted CCR are far easier with lots of stages simply because the stage space isn't taken up by the sidemount cylinders. Whilst the likes of Steve Martin demos 4 stages, it's hard! 4 stages on backmount is just two either side (unless you're a DIR proponent then you'll mess around with all on one side and dog leads...).