My sense is AF Pentax bodies (generally) and K10D in particular have a 2-step focusing routine - 1) approximate the focus, then 2) sharpen. You can hear this as two distinct movements of the screw-drive. It allows a high hit rate and particularly sharp photos when given the time to work, but is a bit slower than other brands' algorithms. The screw drive is probably a bit slower than an HSM motor, as well.
I have shot lacrosse outdoors using AF-C and a 55~300 zoom - I know that is an entirely different set of challenges from indoor basketball - and found AF-C hunted a lot at first.
I ended up setting the focus point below the center point since players' belly buttons move around less than their arms, shoulders and legs; zooming out to capture all of the body and stick (thus the focus point is at about the belt line); decoupling AF from the shutter release (back button AF), multi-segment meter and shooting about 1/500, f/9.6 - f/11, TAv, -1/3EV, with an ISO 800 ceiling. I got shutter release whenever I wanted it and almost everything was in focus (due to expanded depth of field).
Here is a link to the resposnes to MY question about how to set up the K10D for Lacrosse - Lowell made some helpful suggestions on that thread, too, IIRC.
https://www.pentaxforums.com/forums/pentax-dslr-discussion/37177-help-sports-...otography.html
I found it helpful to my psyche to remember that just over a decade ago photographers were taking your shots using film, pre-set ISO and older lens designs (well, not older than the FA50/1.4). A decade before that thet were using MF lenses.
We think WE have it hard!!