Make sure all the stuff they care about (my docs & desktop mainly) has been copied somewhere outside of their profile folder (docs&settings\username).
Then log on with an admin account. Get properties on My Computer. Advanced tab -> User Profiles\Settings.
Choose the profile of the user whose settings are screwed up. Delete that profile. Log off. (optionally you could copy the profile to a network location, then delete it, just in case)
Log back on as the original user, and a new profile will be created.
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