Anyone who thinks file -> print -> page setup is a better place for orientation buttons than the ribbon gets my curmudgeon award.
One big difference is that these tended to be more compact and one-dimensional. There's a lot of eye movement involved in scanning a ribbon toolbar, looking for something, since you have to scan both up-and-down and side-to-side; and the mixed-size icons, mixed icons-and-labels that don't segregate icons and labels to their own rows or columns but jumble them together so you're always scanning a mix of both, and inconsistent placement between programs make the whole thing feel slow and frustrating.
My experience in Word improved dramatically the day I learned the Alt-Q shortcut for just asking for what I want instead of combing through endless menus.