The single-arm pullover amplifies core activation to the extreme. There's an anti-rotation and rotary stability component that isn't present during the bilateral or isolateral versions of the pullover.
Add in the leg raise hold as I have my NFL athlete Fernando Velasco doing in this video and you'll find this to be one of the most challenging core exercises there is. It's also an incredible movement for exposing and addressing imbalances throughout the kinetic chain.
One of my central operating paradigms is the realization that all methods, devices, philosophies and techniques involved in strength training have specific benefits and drawbacks. If your training lacks sufficient diversity, you'll accumulate the drawbacks and habituate to the benefits. And that ain't good.