I'm sure that you can do it with a stick as well. Don't see why not. And actually would be easier with a stick IMO.
The main benefits are in the tuning perameters of the PCM. Fuel tables, shifting strategies for an auto, etc. The way that it was explained to me was this: The OBS tuning tables have say perameters of 1 thru 12. But they only step up every 3 perameters. So you only have techically 4 adjustment points in that total window. Whereas the SD tables have the same amount of perameters, however, a person can adjust at EVERY one instead of every 3. Giving you a full 12 adjustment points instead of 4. This allows for greater fine tuning, tweaking, and getting something absolutely perfect if you want it to. Gives greater flexibilty to customizing your setup wwhether it be shifting, idling, fueling, you name it.