I have a PQ in the 5.2:1 ratio. Have had it for 3+ years and use it specifically and only for shallow to mid depth cranking. It's given me no troubles, casts a mile when you get it dialed in how you want it and nary ever a backlash. Really a solid reel especially when they are picked up on sale for $75 bucks. That said, I have a Lew's Speed Spool ($100 model but can find the newer LFS models for $79.99) in a low 5 ratio as well I use for deep cranking (DD22's, 10XD's, etc) and I will say it is smoother and the gears feel better on it. Not a knock on the PQ just think the Lew's just has a better build, fit and finish on it. Plus you mentioned you have hand issues and the Lew's LFS is also smaller and also is almost a full 2 ounces lighter. Figured I would give my 2 cents.