The aim of this study was to investigate the effect of an official basketball match on repeated sprint ability indices in male junior players. Ten (16 ± 1 years old; 183.6 ± 7.0 cm; 76.6 ± 8.0 kg) starting players for their teams performed three repeated sprint ability tests, before, at half-time and immediately after an official match. Each repeated sprint ability test consisted of 10 shuttle-run sprints of 30 m (15 + 15 m) separated by 30 seconds of passive recovery. The matches were video-taped to determine the frequency of eight types of movement patterns, and blood lactate concentration was measured before and immediately after each repeated sprint ability test. Differences in total time, ideal time and percentage decrement between tests was assessed by a one-way analysis of variance (ANOVA) with repeated measures, while a two-way ANOVA with repeated measures was used to identify differences in blood lactate concentration. The main results indicated a significant decrease in total movement frequency (-9.9%), high-intensity activity frequency (-13.3%), run frequency (-13.0%) and sprint frequency (-23.3%) in the second compared to the first half, and significantly worse total time and ideal time at the end of the match, compared to the start and half-time (differences ranging from -2.1% to -2.9%, P < 0.05). The practical implications of these findings suggest that regional basketball players should participate in conditioning sessions that focus on the improvement of repeated sprint ability.